Individual
BRIDGET A. HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1324 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3174
(678) 390-5096
Mailing address
PO BOX 1001, PINE LAKE, GA 30072-1001
(678) 390-5096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011165
GA
Other
Enumeration date
07/17/2018
Last updated
05/28/2019
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