Individual
MR. JUSTIN LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
309 PIRKLE FERRY RD STE A100, CUMMING, GA 30040-2547
(770) 713-7984
Mailing address
4080 RIDGEBROOK BND, CUMMING, GA 30028-8185
(770) 713-7984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003162
GA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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