Individual
KAREN WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMT
Contact information
Practice address
5068 HIDDEN BRANCH DR, SUGAR HILL, GA 30518-4674
(404) 644-1641
Mailing address
5068 HIDDEN BRANCH DR, SUGAR HILL, GA 30518-4674
(404) 644-1641
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005071
GA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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