Individual
SHANORVER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3133 MAPLE DR NE STE 120, ATLANTA, GA 30305-2509
(404) 220-7770
Mailing address
2240 KRYSTLE WAY, CUMMING, GA 30041-7291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013191
GA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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