Individual
DIMITRY VICTOR MELEKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3548
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006297
GA
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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