Individual
TAHANNIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2111 FLAT SHOALS RD SE STE 102, CONYERS, GA 30013-1826
(470) 989-2473
Mailing address
2137 HICKORY BND SE APT B, CONYERS, GA 30013-2117
(770) 349-5990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013099
GA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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