Individual
DOROTHY CHRIS HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4053 JIMMY DYESS PKWY STE B, AUGUSTA, GA 30909-9472
(706) 394-9661
Mailing address
3537 WOODLAKE RD, HEPHZIBAH, GA 30815-6675
(706) 394-9661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005271
GA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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