Individual
SHARECE LUMOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 LYNCHBURG ST, HAMPTON, GA 30228-5915
(470) 786-3270
Mailing address
644 LYNCHBURG ST, HAMPTON, GA 30228-5915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT015688
GA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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