Individual
MRS. NICOLE R RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
838 OLD MILL RD # 9373535, RINGGOLD, GA 30736-8020
(706) 937-3535
Mailing address
838 OLD MILL RD, RINGGOLD, GA 30736-8020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT012767
MEDICAL MASSAGE
GA
01
—
MT08501
MASSAGE THERAPY
TN
Enumeration date
08/09/2020
Last updated
08/09/2020
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