Individual
RONALD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8046 ROSWELL RD, SANDY SPRINGS, GA 30350-7023
(404) 857-6881
Mailing address
9009 SIX BRANCHES TRL, DOUGLASVILLE, GA 30134-1778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008723
GA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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