Individual
MARY GIBSON DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6884 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3229
(770) 704-8244
Mailing address
2052 TOWNSHIP DR, WOODSTOCK, GA 30189-5284
(859) 338-4656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010096
GA
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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