| Carolyn T Davis, LMT NCTMB SET | |
|
1130 Hurricane Shoals Rd Ne, Suite 1900, Lawrenceville, GA 30043-4851 | |
| (678) 462-2972 | |
| Not Available |
| Full Name | Carolyn T Davis |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1130 Hurricane Shoals Rd Ne, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972826899 | NPI | - | NPPES |
| MT001114 | Other | GA | MASSAGE LICENSE |
| 2008002671 | Other | GA | GWINNETT COUNTY BUSINESS LICENSE |
| 538877-07 | Other | NATIONAL CERTIFICATION OF THERAPEUTIC MASSAGE & BODYWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT001114 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn T Davis, LMT NCTMB SET 582 Mackenzie Ct, Dacula, GA 30019-2385 Ph: (678) 462-2972 | Carolyn T Davis, LMT NCTMB SET 1130 Hurricane Shoals Rd Ne, Suite 1900, Lawrenceville, GA 30043-4851 Ph: (678) 462-2972 |
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