Individual
CAROL SUZANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4028 HOLCOMB BRIDGE RD STE 302A, NORCROSS, GA 30092-4620
(770) 840-7700
Mailing address
310 N POND TRL, ROSWELL, GA 30076-2921
(770) 840-7700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002172
GA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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