Individual
MR. DEVIN THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 STONECROP DR, ATLANTA, GA 30349-3945
(404) 421-4747
Mailing address
4720 STONECROP DR, ATLANTA, GA 30349-3945
(404) 421-4747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT013235
MASSAGE THERAPIST LICENSE
GA
Enumeration date
11/30/2020
Last updated
11/30/2020
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