Individual
LAURENCE HURLING SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1984 WELLBORN RD, LITHONIA, GA 30058-5438
(404) 310-6191
Mailing address
1984 WELLBORN RD, LITHONIA, GA 30058-5438
(404) 310-6191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010271
GA
Other
Enumeration date
10/09/2024
Last updated
10/11/2024
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