| Brian Douglas Walters, LMT | |
|
2045 Rockbridge Rd, Stone Mountain, GA 30087-3551 | |
| (678) 883-2873 | |
| Not Available |
| Full Name | Brian Douglas Walters |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2045 Rockbridge Rd, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT007445 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Douglas Walters, LMT 4018 Sue Ln, Decatur, GA 30035-1075 Ph: (404) 438-4477 | Brian Douglas Walters, LMT 2045 Rockbridge Rd, Stone Mountain, GA 30087-3551 Ph: (678) 883-2873 |
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