Individual
LAURA PIERCE CARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3034 NURSERY RD SE, SMYRNA, GA 30082-2132
(910) 352-7180
Mailing address
3034 NURSERY RD SE, SMYRNA, GA 30082-2132
(910) 352-7180
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408179-00
MASSAGE THERAPIST
—
01
—
MT004814
MASSAGE THERAPIST
GA
Enumeration date
07/20/2019
Last updated
07/20/2019
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