MEDICARE: DR. MELISSA ANN GUNTHER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CHIR007814	GA

General Provider Information

NPI Number	:	1164557393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA ANN GUNTHER D.C.

Provider Business Mailing Address
First Line	:	2061 JOY RIDE DR NE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-2011
Country	:	US
Telephone Number	:	770-873-9637
Fax Number	:	770-973-5775

Provider Business Practice Location Address
First Line	:	2440 SANDY PLAINS RD
Second Line	:	BUIDING 3, SUITE 115
City	:	MARIETTA
State	:	GA
Zip	:	30066-7217
Country	:	US
Telephone Number	:	770-693-8813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	12/01/2010

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