Individual
APRIL DETHERAGE GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N MAIN ST, ADAIRSVILLE, GA 30103-2438
(770) 773-9997
Mailing address
113 HILL ST APT C, ADAIRSVILLE, GA 30103-2459
(706) 299-3824
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT014361
GA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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