| |
829 Front St, Suite H, Georgetown, SC 29440-3563 | |
(901) 896-6024 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 829 Front St, Georgetown, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740616374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 6530 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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913 Lakeside Dr, Georgetown, SC 29440-4325 Ph: (901) 896-6024 | 829 Front St, Suite H, Georgetown, SC 29440-3563 Ph: (901) 896-6024 |
Ms. Blakely R. Altman, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 829 Front St, Suite H, Georgetown, SC 29440 Phone: 843-543-1113 |