Individual
MISS SUZANNE PHILLIPS, LMT CMLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CMLDT
Contact information
Practice address
8697 HOSPITAL DR STE 202, DOUGLASVILLE, GA 30134-2220
(404) 402-9985
Mailing address
8228 ORKNEY WAY, WINSTON, GA 30187-1312
(404) 202-6506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013998
GA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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