Individual
MS. VANESSA E NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
601 N BELAIR SQ, EVANS, GA 30809-4321
(706) 825-8176
Mailing address
2062 HILLSINGER RD, AUGUSTA, GA 30904-5418
(706) 825-8176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001576
GA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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