Organization
MASSAGE ASSOCIATES OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ELLEN FARRAR LMT (PRINCIPAL MEMBER)
(770) 493-8181
Entity
Organization
Contact information
Practice address
5066 LAVISTA RD, TUCKER, GA 30084-3500
(770) 493-8181
Mailing address
5066 LAVISTA RD, TUCKER, GA 30084-3500
(770) 493-8181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000505
GA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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