Individual
DR. MARK R MELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4306 HARDING PIKE, SUITE 106, NASHVILLE, TN 37205-2205
(615) 297-5798
(615) 383-6646
Mailing address
108 BRAVO BLVD, GLASGOW, KY 42141-3412
(270) 651-2181
(270) 651-2183
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD43691
TN
Other
Enumeration date
07/11/2006
Last updated
06/08/2017
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