Most Relevant Information
Provider Data
| NPI Number: | 1003505454 |
| Provider Name: | CARLOS SIMPSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT014529 |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/16/2023 |
Provider Practice Location
3879 BELAIR RD
AUGUSTA
GA
309099681
Practice Location Phone/Fax
| Phone: | 7062313762 |
| Fax: |
Provider Mailing Location
3879 BELAIR RD
AUGUSTA
GA
309099681
Provider Mailing Phone/Fax
| Phone: | 7062313762 |
| Fax: |