Individual
CHARNISE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3429 HUNTERS HILL DR, LITHONIA, GA 30038-1614
(678) 492-2736
Mailing address
3429 HUNTERS HILL DR, LITHONIA, GA 30038-1614
(678) 492-2736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015259
GA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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