Individual
RYAN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
211 BOBBY JONES EXPY, STE C, MARTINEZ, GA 30907-5250
(706) 860-3355
(706) 860-8765
Mailing address
2744 WICKLOW DR, AUGUSTA, GA 30909-3626
(706) 401-9715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010895
GA
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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