Provider Demographics
NPI:1922099340
Name:LAW, MELVIN D JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:D
Last Name:LAW
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-239-2018
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:2004 HAYES ST STE 215
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2649
Practice Address - Country:US
Practice Address - Phone:615-329-0333
Practice Address - Fax:615-321-0509
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN18073207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3808558Medicaid
TN3808558Medicaid
TN3808558Medicaid
TN0922510001Medicare PIN
TN3049880OtherBCBS
TND71854Medicare UPIN