Individual
MR. SCOTT WAYNE HOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2235 CHESHIRE BRIDGE RD NE, ATLANTA, GA 30324-4234
(404) 285-4021
Mailing address
2235 CHESHIRE BRIDGE RD NE, ATLANTA, GA 30324-4234
(404) 285-4021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000057
GA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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