Individual
DR. BRIAN CHRISTOPHER MELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 671-1441
(334) 671-1688
Mailing address
1550 E MAIN ST, DOTHAN, AL 36301-3012
(334) 671-1441
(334) 671-1688
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
300
AL
213E00000X
Podiatrist
SC003685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541161000
KEYSTONE
PA
05
—
1292957
—
PA
01
—
480020003
RAILROAD MEDICARE
—
01
—
705422
BLUE SHIELD
PA
Enumeration date
12/05/2006
Last updated
12/15/2016
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