Provider Demographics
NPI:1447646609
Name:MARCH, SAMANTHA JOCYNTH CLOSETH (DC)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:JOCYNTH CLOSETH
Last Name:MARCH
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:4490 CHAMBLEE DUNWOODY RD
Mailing Address - Street 2:STE. D
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6237
Mailing Address - Country:US
Mailing Address - Phone:770-457-1571
Mailing Address - Fax:770-457-1572
Practice Address - Street 1:4490 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE D
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6237
Practice Address - Country:US
Practice Address - Phone:770-457-1571
Practice Address - Fax:770-504-5442
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA9525111N00000X
TX12858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor