Individual
MS. ANNETTA NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NCBTMB
Contact information
Practice address
152 PINE ST NW, ATLANTA, GA 30313-2212
(678) 806-6277
Mailing address
160 PINE ST NW UNIT 202, ATLANTA, GA 30313-4516
(678) 768-9222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001224
GA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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