Organization
AARON'S ORTHOPEDIC MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LILES LMT (OWNER)
(706) 508-3957
Entity
Organization
Contact information
Practice address
1021 RIVERBURCH PKWY, DALTON, GA 30721-8676
(706) 508-3957
Mailing address
1021 RIVERBURCH PKWY, DALTON, GA 30721-8676
(706) 508-3957
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MT005277
GA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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