Premier Spa & Wellness
Specialist in Marietta, GA. Organization (NPI-2).
NPI number1073971982
StatusActive
Last updated in NPPESMay 9, 2016
Details
- NPI
- 1073971982
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Spa & Wellness
- Organization subpart
- No
- Enumeration date
- Feb 5, 2016
- Last updated
- May 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA003861 | GA | Yes |
Practice location
2050 Roswell RdMarietta, GA 30062-3811
Phone 770-369-3606 · Fax 770-977-9299
Mailing address
2050 Roswell RdMarietta, GA 30062-3811
Phone 770-369-3606 · Fax 770-977-9299
Authorized official
Marie Grace Vola
Lic Massage Therapist
7703693606
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