Individual
MATTHEW DILLON MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4700 WATERS AVE STE 507, SAVANNAH, GA 31404-6220
(912) 350-4750
Mailing address
3 WOODCOCK RD UNIT 2211, SAVANNAH, GA 31404-1089
(828) 429-7056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN291004
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN291004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23395
SC BOARD OF NURSING - APRN LICENSE
SC
01
—
RN291004
GA BOARD OF NURSING - APRN LICENSE
GA
Enumeration date
10/14/2019
Last updated
01/08/2020
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