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Contact Information

ANDRAE B DUDLEY, LMT
135 E. MLK JR DRIVE
201
HINESVILLE, GA31313
 Phone: 912-332-1596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for ANDRAE B DUDLEY · (Male)

NPI # 1144928326
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/17/2023
Last updated 02/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # MT010292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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