Individual
JECORY BRUMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1271 PARKER RD SE, CONYERS, GA 30094-5957
(678) 400-3278
Mailing address
3624 SUMMIT PNES, DECATUR, GA 30034-3857
(404) 272-5794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013234
GA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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