Organization
DIVINE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERMA MINCEY NMT, LMT (LICENSED MASSAGE THERAPIST)
(404) 729-0637
Entity
Organization
Contact information
Practice address
3469 LAWRENCEVILLE HWY STE 201, TUCKER, GA 30084-5866
(404) 729-0637
Mailing address
3469 LAWRENCEVILLE HWY STE 201, TUCKER, GA 30084-5866
(404) 729-0637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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