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General NPI Number Information
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NPI Number | 1982604336
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Entity Type | Individual
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Provider Name | DENNIS M. MELTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3193 HOWELL MILL RD NW STE 125
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City | ATLANTA
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State | GA
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Zip | 30327-2100
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Country | US
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Telephone | 404-231-4431
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Fax | 404-231-5677
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Provider Business Mailing Address
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Address Line | 3193 HOWELL MILL RD NW STE 125
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City | ATLANTA
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State | GA
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Zip | 30327-2100
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Country | US
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Telephone | 404-352-1223
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Fax | 404-352-1226
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 30514
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License Number State | GA
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