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Jemal P Foster

Massage Therapist in Conyers, GA. Individual provider (NPI-1).

NPI number1003728056
StatusActive
Last updated in NPPESSep 22, 2026

Details

NPI
1003728056
Entity type
Individual (NPI-1)
Name
Mr. Jemal P Foster
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 22, 2026
Certification date
Sep 22, 2026
Last updated
Sep 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT010783GAYes

Practice location

2365 Wall St Se Ste 110
Conyers, GA 30013-2197

Phone 678-368-6935

Mailing address

3535 Lighthouse Way
Conyers, GA 30013-6392

Phone 770-203-8464

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