Organization
BEYOND A SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHANNIE WILLIAMS LMT (OWNER)
(470) 989-2473
Entity
Organization
Contact information
Practice address
2111 FLAT SHOALS RD SE STE 102, CONYERS, GA 30013-1826
(470) 989-2473
Mailing address
2137 HICKORY BND SE APT B, CONYERS, GA 30013-2117
(770) 349-5990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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