Individual
LINDA MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5580 POPLAR PL, BUFORD, GA 30518-1788
(470) 774-0269
Mailing address
5580 POPLAR PL, BUFORD, GA 30518-1788
(470) 774-0269
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT008743
GA
225700000X
Massage Therapist
Primary
MT008743
GA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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