Individual
MRS. BELINDA MAVIS GARRETT-IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
3444 CLUB DR, LAWRENCEVILLE, GA 30044-2402
(770) 771-2570
Mailing address
1551 PARK GROVE DR, LAWRENCEVILLE, GA 30046-4398
(770) 771-2570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT000740
GEORGIA MASSAGE THERAPIST LICENSE
GA
Enumeration date
06/27/2011
Last updated
06/27/2011
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