Larry B. Mellick in Augusta - Pediatric Emergency Medicine
Larry B. Mellick - NPI 1841309804
Larry B. Mellick is a Pediatric Emergency Medicine in Augusta, Georgia. Larry B. Mellick practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Larry B. Mellick is 1841309804. The last update date is 2011-03-31.
Larry B. Mellick's current location address is 1499 Walton Way, Augusta, Georgia. You can contact this provider via phone number 7068286410. The mailing address for Larry B. Mellick is 1499 Walton Way, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry B. Mellick |
|---|---|
| Address | 1499 Walton Way, Augusta, Georgia |
| Phone Number | 7068286410 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841309804 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2011-03-31 |
Provider Mailing Address Detail
| Address | 1499 Walton Way |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309012602 |
| Phone Number | 7068286410 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 42892 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G60514 | SC | -- | |
| 000729319A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry B. Mellick by the Centers for Medicare & Medicaid Services?
The Larry B. Mellick has been issued the NPI (National Provider Identifier) 1841309804, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Larry B. Mellick?
The Larry B. Mellick is situated at 1499 Walton Way, in the city of Augusta, state of GA, with the zip code 309012602.
What is the Larry B. Mellick's area of specialization and corresponding taxonomy classification?
The Larry B. Mellick's specialty field is Pediatric Emergency Medicine, and it falls under the taxonomy code 2080P0204X, which categorizes healthcare providers based on their specialties.
On what date did the Larry B. Mellick receive the assignment of its 1841309804 from the Centers for Medicare & Medicaid Services?
The Larry B. Mellick was issued its 1841309804 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Larry B. Mellick most recently updated or revised?
The information pertaining to Larry B. Mellick, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-31.
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