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Individual

DR. RUSSELL W MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
Mailing address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-055801
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005646847
VA
05
005646944
VA
Enumeration date
11/22/2005
Last updated
12/06/2021
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