Individual
OMAR HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3312 WHEELER DR, ATLANTA, GA 30340-3236
(678) 437-7074
Mailing address
3312 WHEELER DR, ATLANTA, GA 30340-3236
(678) 437-7074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002364
GA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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