Provider Demographics
NPI:1841389475
Name:HALE, MELVIN CHARLES (CPO)
Entity Type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:CHARLES
Last Name:HALE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
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Mailing Address - Street 1:115 BEECHVALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-1936
Mailing Address - Country:US
Mailing Address - Phone:770-251-8595
Mailing Address - Fax:770-683-4872
Practice Address - Street 1:1485 HIGHWAY 34 E
Practice Address - Street 2:SUITE 15
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2126
Practice Address - Country:US
Practice Address - Phone:770-683-4870
Practice Address - Fax:770-683-4872
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Not Answered224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist