Individual
JULIE WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
417 S 6TH ST STE B, GRIFFIN, GA 30224-4319
(770) 681-5001
Mailing address
243 BIRCH CREEK CIR, MCDONOUGH, GA 30253-7258
(770) 681-5001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012031
GA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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