Individual
ORTAVIA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 JONESBORO RD STE I, MCDONOUGH, GA 30253-3169
(470) 726-7350
Mailing address
103 JONESBORO RD, SUITE I, MCDONOUGH, GA 30253
(470) 726-7350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012021
GA
Other
Enumeration date
04/07/2016
Last updated
10/24/2024
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