Individual
MARVIN BALDWIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 UPPER HEMBREE RD, ROSWELL, GA 30076-1140
(678) 744-7512
Mailing address
1090 UPPER HEMBREE RD, ROSWELL, GA 30076-1140
(678) 744-7512
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
054444544
GA
173C00000X
Reflexologist
MT009371
GA
225700000X
Massage Therapist
Primary
MT009371
GA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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