Individual
JAMES CARLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CPT, CWMS
Contact information
Practice address
1259 RUSSELL PKWY STE P, WARNER ROBINS, GA 31088-5585
(678) 825-4519
Mailing address
1259 RUSSELL PKWY STE P, WARNER ROBINS, GA 31088-5585
(678) 825-4519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008195
GA
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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