Individual
MS. SHANNON MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMT
Contact information
Practice address
4360 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30341-1049
(770) 457-7812
Mailing address
4360 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30341-1049
(770) 457-7812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000357
GA
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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