MEDICARE: MELINDA H PETERLIN 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	208000000X	Pediatrics Physician	44728 020	WI
2	208000000X	Pediatrics Physician	072916	GA

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	:	1194712505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA H PETERLIN MD

Provider Business Mailing Address
First Line	:	7000 WELLNESS WAY STE 7230
Second Line	:
City	:	ST SIMONS ISLAND
State	:	GA
Zip	:	31522-2286
Country	:	US
Telephone Number	:	912-634-2795
Fax Number	:	912-638-5636

Provider Business Practice Location Address
First Line	:	7000 WELLNESS WAY STE 7230
Second Line	:
City	:	ST SIMONS ISLAND
State	:	GA
Zip	:	31522-2286
Country	:	US
Telephone Number	:	912-634-2795
Fax Number	:	912-638-5636

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	10/15/2014

Similar Medicare Providers

1558366534 — ASHLEY C CAVALIER MD
Practice Location Address:

7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-634-4966
Practice Fax: 912-634-6542

1023040581 — DR. MELISSA A WOOD-KATZ MD
Practice Location Address:

7000 WELLNESS WAY STE 7230
ST SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-634-2795
Practice Fax: 912-638-5636

1780609917 — RACHEL LAUREN DUNCAN PA-C
Practice Location Address:

7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-634-4966
Practice Fax: 912-634-6542

1184638702 — DR. MARGARET FUREY CARTER M.D.
Practice Location Address:

7000 WELLNESS WAY STE 7210
SAINT SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-466-5985
Practice Fax: 912-466-5987

1407866155 — RALPH CAVALIER M.D.
Practice Location Address:

7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-634-4966
Practice Fax: 912-634-6542

1346353554 — FRANCES L OWEN M.D.
Practice Location Address:

7000 WELLNESS WAY , SUITE 7230
ST. SIMONS ISLAND, GA
31522-2286

Practice Phone: 912-634-2795
Practice Fax: 912-638-5636

Directions to “ MELINDA H PETERLIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.