Individual
MR. JAMES COLUMBUS HOLYFIELD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3537 REDD DR, AUGUSTA, GA 30906-4574
(706) 832-9293
Mailing address
3537 REDD DR, AUGUSTA, GA 30906-4574
(706) 832-9293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013393
GA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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