Individual
YITZHAK A MELAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 WESTFORK DR, SUITE C, LITHIA SPRINGS, GA 30122-1544
(770) 941-5552
(770) 941-2289
Mailing address
1515 WESTFORK DR, SUITE C, LITHIA SPRINGS, GA 30122-1544
(770) 941-5552
(770) 941-2289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000618659D
—
GA
Enumeration date
09/06/2005
Last updated
07/09/2007
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