Individual
WILLIAM LEE WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
136 W DYKES ST, COCHRAN, GA 31014-6844
(478) 230-3814
Mailing address
757 GA HIGHWAY 26 E, COCHRAN, GA 31014-2351
(478) 230-3814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002711
GA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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