LARRY B. MELLICK

AUGUSTA, GA
NPI1841309804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: GA  042892)
Enumeration Date2006-08-30
Last Update Date2011-03-31
Business Address
-- LARRY B. MELLICK MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4951
Mailing Address
-- LARRY B. MELLICK MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-6410
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