| Micah Fordson, | |
|
3739 Oakleaf Rd Apt A, Columbia, SC 29206-5202 | |
| (803) 638-2786 | |
| Not Available |
| Full Name | Micah Fordson |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 3739 Oakleaf Rd Apt A, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144756222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 9888 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Fordson, 3713 Covenant Rd, Columbia, SC 29204-4217 Ph: (888) 753-0009 | Micah Fordson, 3739 Oakleaf Rd Apt A, Columbia, SC 29206-5202 Ph: (803) 638-2786 |
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