Individual
MARIAH EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2125 PALIFOX DR NE, ATLANTA, GA 30307-1862
(404) 908-3477
Mailing address
2125 PALIFOX DR NE, ATLANTA, GA 30307-1862
(404) 908-3477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011221
GA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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