Individual
CHARMAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT, LMT
Contact information
Practice address
2183 RIVER PARK CT, AUGUSTA, GA 30907-2039
(919) 703-9903
Mailing address
2183 RIVER PARK CT, AUGUSTA, GA 30907-2039
(919) 703-9903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011611
GA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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