Individual
MEGHAN PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3288 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4221
(404) 939-0089
Mailing address
3288 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT013599
LICENSE
GA
Enumeration date
08/09/2022
Last updated
08/25/2022
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