Individual
MRS. ELISIA MIKE-HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3540 WHEELER RD STE 314, AUGUSTA, GA 30909-1885
(706) 945-8710
Mailing address
505 LORY LN, GROVETOWN, GA 30813-6101
(706) 288-6018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012608
GA
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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