| NPI | 1821345356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH G. STEVENS Therapist 912-383-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT003853) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-09-03 |