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General NPI Number Information
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NPI Number | 1003972597
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Entity Type | Individual
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Provider Name | WALTER CALVIN MELTON JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 2056 CENTRE POINTE LN
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4300
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Country | US
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Telephone | 850-570-0208
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Fax | 850-878-2281
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Provider Business Mailing Address
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Address Line | PO BOX 14593
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City | TALLAHASSEE
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State | FL
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Zip | 32317-4593
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Country | US
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Telephone | 850-570-0208
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Fax | 850-878-2281
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8122
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License Number State | FL
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