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Individual

AMBER N AMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
1343 BUSINESS CENTER DR SW, CONYERS, GA 30094-6608
(678) 262-7386
Mailing address
11 N BROAD ST, PORTERDALE, GA 30014-3351
(678) 262-7386

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012981
GA

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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