Individual
HERMAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1205 JOHNSON FERRY RD STE 126, MARIETTA, GA 30068-5401
(678) 213-2368
Mailing address
3669 PEACHTREE RD NE APT 3B, ATLANTA, GA 30319-1251
(678) 449-7936
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013780
GA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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