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Individual

EDWARD K WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMBT

Contact information

Practice address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
Mailing address
1315 MARKS CHURCH RD APT A1, AUGUSTA, GA 30909-2684
(704) 728-3170

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012460
GA

Other

Enumeration date
05/14/2020
Last updated
05/14/2020
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