Organization
ST MATTHEWS NEUROLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MELTON MD (PRESIDENT)
(502) 899-1193
Entity
Organization
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(502) 899-1193
(502) 897-7233
Mailing address
134 TRAVOIS RD, LOUISVILLE, KY 40207-1673
(502) 899-1193
(502) 897-7233
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000187098
ANTHEM
KY
01
—
1157158
PASSPORT
KY
05
—
65936692
—
KY
Enumeration date
04/17/2007
Last updated
01/13/2012
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