Individual
DR. KURTIS JON MELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 DRAYTON ROAD, SPARTANBURG, SC 29307-1058
(864) 560-6012
(864) 560-6013
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38595
SC
207Q00000X
Family Medicine Physician
4301099284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385591
—
SC
01
—
SC61755019
MEDICARE PIN
SC
Enumeration date
07/06/2011
Last updated
02/03/2021
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