Melissa N. Bacchus, Md, Pllc
NPI #1124212527 in South Charleston, West Virginia
Provider Information
- NPI Number
- 1124212527
- Entity Type
- Organization
- Organization Name
- Melissa N. Bacchus, Md, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 29, 2007
- Last Updated
- Aug 29, 2007
Practice Location
- Address
- 4607 MACCORKLE AVE SW
- Address 2
- MEDICAL PAVILION SUITE 204
- City
- South Charleston
- State
- West Virginia
- ZIP Code
- 25309-1364
- Phone
- (304) 767-7930
Authorized Official
- Name
- DR. MELISSA N BACCHUS, M.D.
- Title
- PHYSICIAN
- Phone
- (304) 767-7930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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