Individual
SEAN PATRICK SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 S LEROY ST, METTER, GA 30439-4631
(912) 687-3309
Mailing address
735 S ROUNTREE ST, METTER, GA 30439-5121
(912) 687-3309
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000023
GA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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