Individual
MR. NORMAN MICHAEL TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3161 HOWELL MILL RD NW, SUITE 410, ATLANTA, GA 30327-2135
(404) 352-4200
Mailing address
1077 BLACKSHEAR DR, APT-C, DECATUR, GA 30033-2606
(404) 668-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003848
GA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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