Doctor Name: | DANNY L MELSON |
NPI Number: | 1003815572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD0000012172 |
Business Practice Address: | 1701 N Main St Suite B Shelbyville, TN - 371602303 |
Business Phone Number: | 9316848686 |
Business Fax Number: | 9316848687 |
Mailing Address: | 1701 N Main St, Suite B SHELBYVILLE |
State: | TN |
Postal Code: | 371602303 |
Phone Number: | 9316848686 |
Fax Number: | 9316848687 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 07/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000012172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |