Individual
CARLOS SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3879 BELAIR RD, AUGUSTA, GA 30909-9681
(706) 231-3762
Mailing address
3879 BELAIR RD, AUGUSTA, GA 30909-9681
(706) 231-3762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014529
GA
Other
Enumeration date
05/02/2023
Last updated
05/16/2023
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