Individual
DR. ANDREA LOUISE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11140 MONTGOMERY ROAD, SUITE 2500, MONTGOMERY, OH 45249
(513) 561-7809
(513) 272-4121
Mailing address
11140 MONTGOMERY ROAD, SUITE 2500, MONTGOMERY, OH 45249
(513) 561-7809
(513) 272-4121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.121092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100310120
—
KY
Enumeration date
05/12/2010
Last updated
10/30/2020
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