Divine Health and Wellness
NPI #1891251245 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1891251245
- Entity Type
- Organization
- Organization Name
- Divine Health and Wellness
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Feb 11, 2019
- Last Updated
- Jun 18, 2020
Practice Location
- Address
- 2045 DUTCHESS RD
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-2312
- Phone
- (770) 356-9703
Authorized Official
- Name
- TABITHA MACON
- Title
- OWNER
- Phone
- (770) 356-9703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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