Individual
BENJAMIN CARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 DAVIS RD STE F, AUGUSTA, GA 30907-5072
(762) 233-1546
Mailing address
701 MACON AVE, AUGUSTA, GA 30901-1843
(616) 752-0252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012982
GA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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