Most Relevant Information
Provider Data
| NPI Number: | 1003635699 |
| Provider Name: | LAURENCE HURLING |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT010271 |
Most Important Dates
| Enumeration Date: | 10/09/2024 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
1984 WELLBORN RD
LITHONIA
GA
300585438
Practice Location Phone/Fax
| Phone: | 4043106191 |
| Fax: |
Provider Mailing Location
1984 WELLBORN RD
LITHONIA
GA
300585438
Provider Mailing Phone/Fax
| Phone: | 4043106191 |
| Fax: |