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CAROL SUZANNE ANDERSON LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063728178

Individual Registrant:
 CAROL SUZANNE ANDERSON LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
4028 HOLCOMB BRIDGE RD STE 302A  NORCROSS, GA 30092-4620 US
Tel: 770-840-7700  Fax: --

Contact information for business:
310 N POND TRL  ROSWELL, GA 30076-2921 US
Tel: 770-840-7700  Fax: --

Registration Information:
NPI: 1063728178
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GAMT002172

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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