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Individual

MICHELLE MARIE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1680 NUTMEG ST, DOUGLASVILLE, GA 30134-2669
(727) 238-4118
Mailing address
1680 NUTMEG ST, DOUGLASVILLE, GA 30134-2669
(727) 238-4118

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
014895
GA

Other

Enumeration date
12/04/2024
Last updated
12/04/2024
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