Individual
LATASHA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3475 N DESERT DR STE 1104, EAST POINT, GA 30344-5723
(404) 594-2777
Mailing address
9660 SQUIRREL WOOD RUN, DOUGLASVILLE, GA 30135-2474
(815) 590-3656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014856
GA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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