Individual
MRS. MATRILLA BARNES HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CNMT, CMA
Contact information
Practice address
120 MILLBROOK VILLAGE DR # B202, TYRONE, GA 30290-3605
(404) 992-0812
Mailing address
PO BOX 311691, ATLANTA, GA 31131-1691
(678) 643-1201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002361
GA
Other
Enumeration date
10/30/2019
Last updated
05/29/2020
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