Individual
DALE LANE GAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3161 HOWELL MILL RD NW STE 400, ATLANTA, GA 30327-2117
(404) 478-2399
Mailing address
1010 W PEACHTREE ST NW APT 642, ATLANTA, GA 30309-4784
(256) 283-6770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003113
GA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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