Individual
MS. GINA MARIE RIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NMT
Contact information
Practice address
110 - C BASTILLE WAY, FAYETTEVILLE, GA 30214
(770) 719-2121
Mailing address
P.O.BOX 143004, FAYETTEVILLE, GA 30214
(770) 719-2121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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