Individual
MR. DARRELL WINSTON SCAIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMP, BCTMB
Contact information
Practice address
2410 BOB BETTIS RD, MARIETTA, GA 30066-5712
(704) 526-7112
Mailing address
2550 SANDY PLAINS RD, STE 225 #333, MARIETTA, GA 30066-7256
(770) 910-0341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT000522
GA
225700000X
Massage Therapist
Primary
MT000522
GA
Other
Enumeration date
06/26/2007
Last updated
02/09/2023
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