Individual
EDGAR MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8355 CHEROKEE BLVD STE 200, DOUGLASVILLE, GA 30134-2591
(678) 400-5106
Mailing address
8355 CHEROKEE BLVD STE 200, DOUGLASVILLE, GA 30134-2591
(678) 400-5106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
041167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733059J
—
GA
05
—
00733059K
—
GA
Enumeration date
04/28/2006
Last updated
04/17/2023
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