Individual
MELISSA MEGAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 BRISTOL RD, MARTINEZ, GA 30907-2724
(706) 691-6600
Mailing address
420 BRISTOL RD, MARTINEZ, GA 30907-2724
(706) 691-6600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
13008
SC
225700000X
Massage Therapist
Primary
MT014192
GA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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