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NPI Code Detail

MEDICARE: MEL CHARLES HARTSFIELD M.D., J.D.

MEDICARE: MEL CHARLES HARTSFIELD M.D., J.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
1208D00000XGeneral Practice PhysicianME40552FL

General Provider Information

NPI Number : 1487891552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEL CHARLES HARTSFIELD M.D., J.D.
Provider Business Mailing Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number : 850-342-0257
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number : 850-342-0257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2009
Last Update Date : 01/12/2009

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