MEDICARE: MELISSA LANGLEY MD PC

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	207N00000X	Dermatology Physician	MD0000021981	TN

General Provider Information

NPI Number	:	1447426937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA LANGLEY MD PC

Provider Business Mailing Address
First Line	:	250 25TH AVE N STE 307
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1624
Country	:	US
Telephone Number	:	615-321-1020
Fax Number	:	615-321-1002

Provider Business Practice Location Address
First Line	:	250 25TH AVE N STE 307
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1624
Country	:	US
Telephone Number	:	615-321-1020
Fax Number	:	615-321-1002

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MELISSA LANGLEY
Credential	:	MD
Telephone Number	:	615-321-1020

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

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