Individual
TISHUN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6290 ABBOTTS BRIDGE RD, SUITE 204, JOHNS CREEK, GA 30097
(770) 559-4236
(770) 559-4795
Mailing address
6290 ABBOTTS BRIDGE RD, SUITE 204, JOHNS CREEK, GA 30097
(770) 559-4236
(770) 559-4795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008680
GA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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