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Individual

CHARLES JOSEPH MCNULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
6065 ROSWELL RD STE 170, SANDY SPRINGS, GA 30328-4034
(404) 220-7770
Mailing address
789 HAMMOND DR APT 101, ATLANTA, GA 30328-5590
(251) 599-7794

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010389
GA

Other

Enumeration date
03/13/2025
Last updated
03/13/2025
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