Individual
GREGORY EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CNMT
Contact information
Practice address
1570 WARSAW RD, ROSWELL, GA 30076-1532
(770) 330-8835
Mailing address
1520 OLDE MILL CT, MARIETTA, GA 30066-1162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008042
GA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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