Individual
MR. TEHERAN M HEIGHT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, NMT
Contact information
Practice address
737 MAIN ST, STONE MOUNTAIN, GA 30083-3618
(678) 724-7906
Mailing address
2529 BONDS LAKE RD NW, CONYERS, GA 30012-3101
(678) 724-7906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011648
GA
Other
Enumeration date
01/11/2021
Last updated
01/13/2021
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