Individual
ROSLYN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
580 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 364-8501
(706) 364-8503
Mailing address
3806 WINCHESTER CT, AUGUSTA, GA 30906-8018
(706) 533-4227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 007477
GA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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