Theresa Elizabeth Mellette, D.O.
NPI #1922488956 in Ronceverte, West Virginia
Provider Information
- NPI Number
- 1922488956
- Entity Type
- Individual
- Name
- Theresa Elizabeth Mellette, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jun 4, 2015
- Last Updated
- Jan 20, 2020
Practice Location
- Address
- 1320 MAPLEWOOD AVE
- City
- Ronceverte
- State
- West Virginia
- ZIP Code
- 24970-8016
- Phone
- (304) 647-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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