Individual
MR. SLONE NIFONG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
108 COLONY PARK DR STE 400-A, CUMMING, GA 30040-2797
(678) 978-0121
Mailing address
6055 APPLE ROSE DR, ALPHARETTA, GA 30004-5757
(770) 262-0458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012324
GA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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