MEDICARE: ERIC PERRY MELZIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0101026489	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154389716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC PERRY MELZIG MD

Provider Business Mailing Address
First Line	:	8921 THREE CHOPT RD
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23229-4601
Country	:	US
Telephone Number	:	804-825-9416
Fax Number	:	804-285-9461

Provider Business Practice Location Address
First Line	:	8921 THREE CHOPT RD
Second Line	:	SUITE 300
City	:	RICHMOND
State	:	VA
Zip	:	23229-4601
Country	:	US
Telephone Number	:	804-825-9416
Fax Number	:	804-285-9461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/08/2010

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