MR. John Meddling, LCMT

NPI #1588066708 in Fairburn, Georgia

Provider Information

NPI Number: 1588066708
Entity Type: Individual
Name: MR. John Meddling, LCMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LCMT
Enumeration Date: Sep 18, 2014
Last Updated: Sep 18, 2014

Practice Location

Address: 5474 OAKLEY INDUSTRIAL BLVD APT 1032
City: Fairburn
State: Georgia
ZIP Code: 30213-4475
Phone: (678) 778-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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