Individual
ANGELA LEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MP
Contact information
Practice address
102 CEDAR ST, CARROLLTON, GA 30117-2403
(678) 922-9248
Mailing address
102 CEDAR ST, CARROLLTON, GA 30117-2403
(678) 922-9248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013269
GA
Other
Enumeration date
12/27/2010
Last updated
12/16/2025
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