Provider Demographics
NPI:1386988285
Name:LAMARCHE, MELISSA JB (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JB
Last Name:LAMARCHE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:BRISCOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1870 HAYS FARM WALK
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5477
Mailing Address - Country:US
Mailing Address - Phone:970-778-8502
Mailing Address - Fax:
Practice Address - Street 1:236 S FAIRGROUND ST SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-2354
Practice Address - Country:US
Practice Address - Phone:678-903-5960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6876111N00000X
GACHIR009244111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor