MEDICARE: DR. DENNIS M. MELTON M.D.

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	207R00000X	Internal Medicine Physician	30514	GA

General Provider Information

NPI Number	:	1982604336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS M. MELTON M.D.

Provider Business Mailing Address
First Line	:	3193 HOWELL MILL RD NW STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2100
Country	:	US
Telephone Number	:	404-352-1223
Fax Number	:	404-352-1226

Provider Business Practice Location Address
First Line	:	3193 HOWELL MILL RD NW STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2100
Country	:	US
Telephone Number	:	404-231-4431
Fax Number	:	404-231-5677

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/26/2025

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