Individual
JACESON S HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
935 RONALD REAGAN DR UNIT 103, EVANS, GA 30809-7622
(706) 922-3536
Mailing address
4318 THRUSH CT, AUGUSTA, GA 30907-4415
(850) 624-2582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014516
GA
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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