Individual
MS. PAMELA HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
416 TIFT AVE N, TIFTON, GA 31794-4466
(229) 848-1674
Mailing address
79 HANK MIKE RD, CHULA, GA 31733-4305
(229) 848-1674
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001810
GA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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