Individual
JIMMY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1253 CAROLINE ST NE STE 109, ATLANTA, GA 30307-2759
(404) 539-6713
Mailing address
1253 CAROLINE ST NE STE 109, ATLANTA, GA 30307-2759
(404) 539-6713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT007026
GA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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