Individual
RODERICK ELLIOTT HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AM
Contact information
Practice address
43 CLAY ST APT 4, FAIRBURN, GA 30213-1440
(678) 866-5685
Mailing address
43 CLAY ST APT 4, FAIRBURN, GA 30213-1440
(678) 866-5685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009770
GA
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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