Individual provider · Type 1 NPI

Jeremy Daniel Melton, PA-C

Surgical Physician Assistant · Marietta, GA

NPI number 1902213853 Active

Practice location

300 Tower Rd NE, Suite 200
Marietta, GA 30060-9404

Call (770) 427-5717 Map

Fax (770) 427-6744

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007238 (GA)
Surgical Physician Assistant Primary 363AS0400X007238 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902213853

Jeremy Daniel Melton, PA-C's National Provider Identifier is 1902213853, issued on Jul 11, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Aug 27, 2014.