Individual
MRS. SHARON JEANNETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GA LMT, NCBTMB
Contact information
Practice address
10498 CEDAR GROVE RD, FAIRBURN, GA 30213-1884
(229) 400-7321
Mailing address
10498 CEDAR GROVE RD, FAIRBURN, GA 30213-1884
(229) 400-7321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001122
GA
Other
Enumeration date
10/30/2012
Last updated
09/06/2020
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