Individual
GEORGIA MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2850 TYNECASTLE HWY, BANNER ELK, NC 28604-9716
(828) 964-3387
Mailing address
PO BOX 1647, BANNER ELK, NC 28604-1647
(828) 964-3387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9600
NC
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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