Individual provider · NPI-1

Benjamin Carde

Massage Therapist · Augusta, GA

NPI number1568079390
StatusActive
Last updated in NPPESSep 25, 2020

Details

NPI
1568079390
Entity type
Individual (NPI-1)
Name
Benjamin Carde
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 25, 2020
Certification date
Sep 25, 2020
Last updated
Sep 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT012982GAYes

Practice location

149 Davis Rd Ste F
Augusta, GA 30907-5072

Phone 762-233-1546

Mailing address

701 Macon Ave
Augusta, GA 30901-1843

Phone 616-752-0252

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