Individual
UMANG DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1764 INDIANA AVE NE, ATLANTA, GA 30307-2222
(650) 267-1500
Mailing address
1764 INDIANA AVE NE, ATLANTA, GA 30307-2222
(650) 267-1500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013109
GA
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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