Melendez, Edgar
Melendez, Edgar is an individual health care provider with primary practice located at 8355 Cherokee Blvd Ste 200 , Douglasville GA 30134-2591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Melendez, Edgar can be contacted via phone (678) 400-5106.Contact Information
Primary practice address
8355 Cherokee Blvd Ste 200
Douglasville GA 30134-2591
Phone: (678) 400-5106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 041167 | Georgia |
Profile Details
| NPI number | 1275590663 |
|---|---|
| LBN Legal business name | Melendez, Edgar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275590663 | NPPES |
| Georgia | MEDICAID | 00733059J | |
| Georgia | MEDICAID | 00733059K |
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