DERICK WADE CUNNINGHAM RN, LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1942594437- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, LMT
- Status
- Active
Contact & Location
- Address
- 1708 PEACHTREE ST NW STE 101, ATLANTA, GA, 303092415
- Phone
- (870) 284-0297
Specialties & Taxonomies
Massage Therapist
Primary License: GA #MT0011476
Registered Nurse
License: GA #RN712951