Individual
DEBBRA HOLDER CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
215 BANKS STA, FAYETTEVILLE, GA 30214-7505
(770) 719-4949
Mailing address
215 BANKS STA, FAYETTEVILLE, GA 30214-7505
(770) 719-4949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002429
GA
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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