Individual
BLAKE P MELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4138 DURHAM LNDG, MORRISTOWN, TN 37813-1006
(423) 586-1717
(423) 586-1763
Mailing address
4138 DURHAM LNDG, MORRISTOWN, TN 37813-1006
(423) 586-1717
(423) 586-1763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888940
—
TN
Enumeration date
05/15/2006
Last updated
12/31/2020
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