Provider Demographics
NPI:1659024792
Name:DR. MELODIE M. BILLIOT, PC
Entity Type:Organization
Organization Name:DR. MELODIE M. BILLIOT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELODIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BILLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-937-9200
Mailing Address - Street 1:1640 POWERS FERRY RD SE BLDG 14-100
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-1460
Mailing Address - Country:US
Mailing Address - Phone:770-937-9200
Mailing Address - Fax:
Practice Address - Street 1:1640 POWERS FERRY RD SE BLDG 14-100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-1460
Practice Address - Country:US
Practice Address - Phone:770-937-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2022-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty