Individual
JOHN ROBERT MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3475 N DESERT DR STE 1104, EAST POINT, GA 30344-5723
(404) 594-2777
Mailing address
2312 VENTURE DR, LITHIA SPRINGS, GA 30122-3986
(404) 594-2777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006633
GA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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