Individual
BETH SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
214 PONCE DE LEON AVE NE, STE 1, ATLANTA, GA 30308-1910
(404) 806-0029
Mailing address
214 PONCE DE LEON AVE NE, STE 1, ATLANTA, GA 30308-1910
(404) 806-0029
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT009847
GA
225700000X
Massage Therapist
Primary
MT009847
GA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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