Individual
MRS. HOLLY MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMT, LMT
Contact information
Practice address
327 E JACKSON ST, THOMASVILLE, GA 31792-5194
(229) 403-8383
Mailing address
327 E JACKSON ST, THOMASVILLE, GA 31792-5194
(229) 403-8383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005349
GA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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