Individual
MARGARET LEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT
Contact information
Practice address
1801 BELMONT AVE, TIFTON, GA 31794-3617
(229) 425-9754
Mailing address
1801 BELMONT AVE, TIFTON, GA 31794-3617
(229) 425-9754
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001674
GA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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