Peterlin, Melinda H

Peterlin, Melinda H is an individual health care provider with primary practice located at 7000 Wellness Way Ste 7230 , St Simons Island GA 31522-2286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peterlin, Melinda H can be contacted via phone (912) 634-2795.

Contact Information

Primary practice address
7000 Wellness Way Ste 7230 St Simons Island GA 31522-2286
Phone: (912) 634-2795
Fax: (912) 638-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44728 020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 072916 Georgia

Profile Details

NPI number 1194712505
LBN Legal business name Peterlin, Melinda H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 15th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194712505 NPPES
Wisconsin MEDICAID 34231500

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