MEDICARE: MELISSA MARIE ARNOLD 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	CHIR006247	GA
2	111NI0013X	Independent Medical Examiner Chiropractor	CHIR006247	GA

General Provider Information

NPI Number	:	1962654848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE ARNOLD D.C.

Provider Business Mailing Address
First Line	:	4646 N SHALLOWFORD RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-6308
Country	:	US
Telephone Number	:	770-676-6000
Fax Number	:	678-990-0941

Provider Business Practice Location Address
First Line	:	4646 N SHALLOWFORD RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-6308
Country	:	US
Telephone Number	:	770-676-6000
Fax Number	:	678-990-0941

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

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	10/22/2008

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