NPI 1073971982

Premier Spa & Wellness

Organisation Specialist Marietta, GA

Practice location

Address: 2050 Roswell Rd, Marietta, GA 30062-3811
Phone: (770) 369-3606
Fax: (770) 977-9299

Authorised official

Name: Marie Grace Vola
Title: Lic Massage Therapist
Phone: (770) 369-3606

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA003861 (GA)

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Registry record

NPI: 1073971982
Entity type: Organization
NPI issued: 5 Feb 2016
Record last updated: 9 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.