Individual
GHAFFARAH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2850 DELK RD SE, 36G, MARIETTA, GA 30067-5352
(404) 457-2000
Mailing address
414 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2015
(404) 457-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009604
GA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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