MEDICARE: DR. MELISSA B RHODES 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	47060	GA
2	207RP1001X	Pulmonary Disease Physician	047060	GA
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	47060	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	29BDCNK	OTHER	GA	MEDICARE

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	:	1396743308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA B RHODES M.D.

Provider Business Mailing Address
First Line	:	21 POINTE NORTH DR
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-7952
Country	:	US
Telephone Number	:	678-721-0705
Fax Number	:	678-721-5116

Provider Business Practice Location Address
First Line	:	21 POINTE NORTH DR
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-7911
Country	:	US
Telephone Number	:	678-721-0705
Fax Number	:	678-721-5116

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	06/09/2021

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Directions to “ DR. MELISSA B RHODES M.D.” Practice Location

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