Individual
MEAGAN K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7951 VILLA RICA HWY, DALLAS, GA 30157-8666
(678) 952-6249
Mailing address
7951 VILLA RICA HWY, DALLAS, GA 30157-8666
(678) 952-6249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013593
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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