MEDICARE: DANNY L MELSON 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	208D00000X	General Practice Physician	MD0000012172	TN

General Provider Information

NPI Number	:	1003815572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY L MELSON MD

Provider Business Mailing Address
First Line	:	1701 N MAIN ST
Second Line	:	SUITE B
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160-2303
Country	:	US
Telephone Number	:	931-684-8686
Fax Number	:	931-684-8687

Provider Business Practice Location Address
First Line	:	1701 N MAIN ST
Second Line	:	SUITE B
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160-2303
Country	:	US
Telephone Number	:	931-684-8686
Fax Number	:	931-684-8687

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/01/2010

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