Individual
MR. JEREMY WALTER DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3161 HOWELL MILL RD NW, SUITE 410, ATLANTA, GA 30327-2102
(404) 352-4200
Mailing address
4500 ASHMORE CIR NE, MARIETTA, GA 30066-1613
(770) 928-3307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003000
GA
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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