Individual
ANITA LYNNE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMP
Contact information
Practice address
6030 SOUTHARD TRCE, CUMMING, GA 30040-6343
(678) 400-0540
Mailing address
6030 SOUTHARD TRCE, CUMMING, GA 30040-6343
(678) 400-0540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006381
GA
Other
Enumeration date
07/07/2022
Last updated
04/21/2023
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