Individual
STEPHANNE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5819 CAMPBELLTON RD SW, SOUTH FULTON, GA 30331-8046
(404) 491-1875
Mailing address
915 CUSTER AVE SE, ATLANTA, GA 30316-3107
(770) 310-0774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014265
GA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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