Individual
CHRISTOPHER CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 BANKS STA, FAYETTEVILLE, GA 30214-7504
(404) 316-8288
Mailing address
255 N MAIN ST UNIT 1694, JONESBORO, GA 30237-2654
(404) 200-8190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009661
GA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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