Individual
JOSEPH PAUL LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
221 CROSSROADS EST DR, NEWNAN, GA 30265-2718
(240) 593-0863
Mailing address
221 CROSSROADS EST DR, NEWNAN, GA 30265-2718
(240) 593-0863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009510
GA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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