Individual
MARIJANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3293 E FIRST ST, BLUE RIDGE, GA 30513-7152
(706) 946-2017
Mailing address
3293 E FIRST ST, BLUE RIDGE, GA 30513-7152
(706) 946-2017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012534
GA
Other
Enumeration date
04/29/2024
Last updated
05/08/2024
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