Individual
LAVINIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7100 PEACHTREE DUNWOODY RD, SUITE 110, ATLANTA, GA 30328-1689
(770) 569-3145
Mailing address
7100 PEACHTREE DUNWOODY RD, SUITE 110, ATLANTA, GA 30328-1689
(770) 569-3145
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009458
GA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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