Individual
MR. JOHN RUSSELL GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
1900 LEONIDAS TRL NW, MARIETTA, GA 30064-1391
(770) 361-6232
Mailing address
1900 LEONIDAS TRL NW, MARIETTA, GA 30064-1391
(770) 361-6232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000999
GA
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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