| Gina Marie Wiedrich, MT | |
|
2920 Marietta Hwy Ste 108, Canton, GA 30114-8207 | |
| (678) 880-7346 | |
| Not Available |
| Full Name | Gina Marie Wiedrich |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 2920 Marietta Hwy Ste 108, Canton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831331024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT001530 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Marie Wiedrich, MT 619 Redwood Ln, Canton, GA 30114-7788 Ph: (678) 880-7346 | Gina Marie Wiedrich, MT 2920 Marietta Hwy Ste 108, Canton, GA 30114-8207 Ph: (678) 880-7346 |
Richard Michael Carter, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Mossy Pt, Canton, GA 30114 Phone: 470-336-8144 | |
Miss Lauren Amanda D'errico, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2230 Mills Wood Run, Canton, GA 30114 Phone: 678-920-1680 | |
Mrs. Irene Meiller, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Canton, GA 30114 Phone: 770-877-0752 |