| Doctor Name: | MELISSA SHERROD |
| NPI Number: | 1881693356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 102522 |
| Business Practice Address: | 240 Hospital Dr Ne Bolivia, NC - 284228346 |
| Business Phone Number: | 8434975929 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3439, NORTH MYRTLE BEACH |
| State: | SC |
| Postal Code: | 295820439 |
| Phone Number: | 8438394447 |
| Fax Number: | 8433990123 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 04/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 102522 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |