Individual
PAULA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 ROCK CREEK RD, TOCCOA, GA 30577-7435
(706) 499-5149
Mailing address
811 CAWTHON RD, TOCCOA, GA 30577-7284
(706) 499-5149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008904
GA
Other
Enumeration date
08/04/2019
Last updated
04/05/2023
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