Individual
GEORGENE FERRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1612 MAIN ST., FAYETTE, MS 39069
(601) 786-7202
Mailing address
PO BOX 281, FAYETTE, MS 39069-0281
(601) 786-7202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0863
MS
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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