Individual
MR. MARQUISE CALHOUN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1782 LYLE AVE, UNIT 2, COLLEGE PARK, GA 30337
(404) 376-5142
Mailing address
1782 LYLE AVE, UNIT 4, COLLEGE PARK, GA 30337
(404) 376-5142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004648
GA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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