BRIAN DOUGLAS WALTERS

STONE MOUNTAIN, GA
NPI1427425347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT007445)
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
BRIAN DOUGLAS WALTERS LMT
2045 ROCKBRIDGE RD
STONE MOUNTAIN, GA 30087-3551
Phone number: 678-883-2873
Mailing Address
BRIAN DOUGLAS WALTERS LMT
4018 SUE LN
DECATUR, GA 30035-1075
Phone number: 404-438-4477
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