Individual
MAURICE MARTIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1415 HIGHWAY 85 N STE 310282, FAYETTEVILLE, GA 30214-7738
(404) 566-6475
Mailing address
1415 HIGHWAY 85 N STE 310282, FAYETTEVILLE, GA 30214-7738
(404) 566-6475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006654
GA
Other
Enumeration date
03/09/2022
Last updated
02/28/2023
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