Individual
RICHARD E MELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 ATLANTA HWY, WARRENTON, GA 30828-9109
(706) 465-3253
(706) 465-3256
Mailing address
PO BOX 371, WRIGHTSVILLE, GA 31096-0371
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000302068G
—
GA
05
—
000302068I
—
GA
05
—
000302068K
—
GA
01
—
080150840
MEDICARE RR RETIRED
—
01
—
08BDMNG
MEDICARE FFS
GA
01
—
10057285
AMERIGROUP
GA
01
—
111811
MEDICARE FQHC
GA
01
—
111812
MEDICARE FQHC
GA
01
—
111813
MEDICARE FQHC
GA
01
—
111814
MEDICARE FQHC
GA
01
—
341628
WELLCARE
GA
01
—
341629
WELLCARE
GA
01
—
341630
WELLCARE
GA
01
—
342410
WELLCARE
GA
01
—
GRP1619
MEDICARE GROUP FFS
GA
Enumeration date
08/25/2005
Last updated
11/20/2014
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