Individual
MICHAEL BARKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1423 CLARINBRIDGE PKWY NW, KENNESAW, GA 30144-6669
(228) 547-1390
Mailing address
1423 CLARINBRIDGE PKWY NW, KENNESAW, GA 30144-6669
(228) 547-1390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008273
GA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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