Individual
KENNETH MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2665 N DECATUR RD, SUITE 430, DECATUR, GA 30033-6149
(404) 294-4018
(404) 294-9161
Mailing address
2665 N DECATUR RD, SUITE 430, DECATUR, GA 30033-6149
(404) 294-4018
(404) 294-9161
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
26337
GA
207RP1001X
Pulmonary Disease Physician
Primary
26337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000315169E
—
GA
05
—
000315169F
—
GA
05
—
000315169G
—
GA
Enumeration date
10/16/2006
Last updated
06/09/2014
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