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Individual

CLYDE RANNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
619 E COLLEGE AVE STE 627-H, DECATUR, GA 30030-5324
(404) 378-6288
Mailing address
117 SHADOWMOOR DR APT A, DECATUR, GA 30030-3838
(404) 444-1172

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002398
GA

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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