Individual
MS. NOVEMBER F GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT ES
Contact information
Practice address
1169 MIDLAND DR NW, ACWORTH, GA 30102-3425
(404) 822-0403
Mailing address
1169 MIDLAND DR NW, ACWORTH, GA 30102-3425
(404) 822-0403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012679
GA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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