Individual
BRETT ALEX MELNIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 DESALES AVE STE F1009, CHATTANOOGA, TN 37404-1161
(423) 624-5200
(423) 697-2320
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2320
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
68319
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68319
TN LICENSE
TN
Enumeration date
04/04/2016
Last updated
06/30/2023
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