Individual
PEGGY L. JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
101 DEVANT ST STE 703, FAYETTEVILLE, GA 30214-2717
(770) 401-7547
Mailing address
PO BOX 936, SENOIA, GA 30276-0900
(770) 401-7547
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002564
GA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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