Taquanta Mashae Pearson, is a
Massage Therapist based in Locust Grove, Georgia. Taquanta Mashae Pearson is licensed to practice in Georgia (license number MT010416) and her current practice location is
123 Aristocratic Way, Locust Grove, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 273-7604.
NPI number for Taquanta Mashae Pearson is 1023681228 and her current mailing address is 123 Aristocratic Way, Locust Grove, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023681228.
Healthcare Provider's Profile
Full Name | Taquanta Mashae Pearson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 123 Aristocratic Way, Locust Grove, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023681228
- Provider Enumeration Date: 07/23/2021
- Last Update Date: 07/23/2021
Medical Identifiers
Medical identifiers for Taquanta Mashae Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023681228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT010416 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taquanta Mashae Pearson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taquanta Mashae Pearson, 123 Aristocratic Way, Locust Grove, GA 30248-2285 Ph: (404) 273-7604 | Taquanta Mashae Pearson, 123 Aristocratic Way, Locust Grove, GA 30248-2285 Ph: (404) 273-7604 |
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