DR. MARISSA SHELTON PECK (NPI# 1609066893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609066893 |
| Entity Type | Individual |
| Full Name | DR. MARISSA SHELTON PECK |
| Credential | D.C. |
| Practice Address |
1615 State Highway 17 Ste 2 Young Harris GA 30582-1877 |
| Practice Telephone | 7068965110 |
| Mailing Telephone | 7068965110 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008103 | GA | Chiropractic Providers |
| Street Address |
1615 STATE HIGHWAY 17 STE 2 |
| City | YOUNG HARRIS |
| State | GA |
| Zip Code | 30582-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336444 | Jimmie Jo Nichols | Early Intervention Provider Agency | 99 Double Knobs Trail, Young Harris, GA 30582 | 2019-09-24 |
| 1487783684 | Lance David Markham | Specialist/Technologist | 37 College St, Young Harris, GA 30582 | 2007-03-05 |
| 1699835900 | Mary Emma Brown Jones | Psychologist | 881 Upper Plott Town Road, Young Harris, GA 30582 | 2006-12-11 |
| 1689768954 | Lydia Roxanne Barrett | Nurse Practitioner | Towns County Health Department, 1104 Jack Dayton Circle, Young Haris, GA 30582 | 2006-10-03 |
| 1184717787 | Deborah Lea Burrell | Registered Nurse | 1104 Jack Dayton Circle, Young Harris, GA 30582 | 2006-10-02 |
| 1740382027 | Gregory Edward Wilson | Physical Therapist | 1615 Us Highway 17, Suite 9, Young Harris, GA 30582 | 2006-09-05 |
| 1124424536 | Jaclyn C. Collins | Nurse Practitioner | 1155 Main St, Young Harris, GA 30582 | 2014-11-12 |
| 1275711509 | Mary Emma B Jones Phd PC | Psychologist | 881 Upper Plott Town Road, Young Harris, GA 30582 | 2008-02-08 |
| 1962571778 | Towns County Health Department | Public Health or Welfare | 1104 Jack Dayton Circle, Young Harris, GA 30582 | 2006-11-07 |
| 1306053202 | Young Harris Pharmacy, Inc | Pharmacy | Hwy 66 & Us 76, Young Harris, GA 30582-0025 | 2007-05-17 |
| Find all providers in zip 30582 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | YOUNG HARRIS |
| Zip Code | 30582 |
Please comment or provide details below to improve the information on DR. MARISSA SHELTON PECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.