Individual
CARRIE WARE CARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
175 W WIEUCA RD NE STE 239, ATLANTA, GA 30342-3290
(678) 886-1336
Mailing address
5675 ROSWELL RD APT 59K, SANDY SPRINGS, GA 30342-1236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0006279
GA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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