CHARLOTTE HART FANDRICH (NPI# 1528605839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528605839 |
| Entity Type | Individual |
| Full Name | CHARLOTTE HART FANDRICH |
| Credential | MT |
| Practice Address |
1048 Old Highway 441 North Clayton GA 30525 |
| Mailing Address |
3219 Wood Creek Pl Gainesville GA 30507-7994 |
| Practice Telephone | 7064455761 |
| Mailing Telephone | 7064455761 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT012138 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1048 OLD HIGHWAY 441 NORTH |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| 1932220266 | Mountain Physical Therapy Inc | Physical Therapist | 1218 North Main St, Clayton, GA 30525 | 2007-04-03 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102069 | Lacretia Denise Ray | Massage Therapist | 310 W Copenhaver Dr, Clayton, NC 27527-9549 | 2020-10-20 |
| 1720630783 | April J Alexander | Massage Therapist | 1048 Old Hwy 441 North, Clayton, GA 30525-3052 | 2019-07-10 |
| 1063914950 | Laneya Denning | Massage Therapist | 11448 Us 70 Business Hwy W, Clayton, NC 27520-2208 | 2018-03-06 |
| 1598292237 | Lacey Jordan | Massage Therapist | 4581 Wallbridge Rd, Clayton, WA 99110-9799 | 2017-05-12 |
| 1154793081 | Madeline H Chavis | Massage Therapist | 106 S Lombard St Ste 104, Clayton, NC 27520-2554 | 2015-10-30 |
| 1225313745 | Adrienne Dashawn Anderson | Massage Therapist | 1017 Lockberry Ct, Clayton, NC 27520-3784 | 2011-10-15 |
| 1619460177 | Life's Purpose Massage & More | Massage Therapist | 11448 Us 70 Business Hwy W, Clayton, NC 27520-2208 | 2018-06-10 |
| 1285088641 | Jennifer Dee Tollefsrud | Massage Therapist | 401 E Main St, Suite 206-b, Clayton, NC 27520-2545 | 2016-04-21 |
| 1679916381 | Gyan Golden | Massage Therapist | 156 N Main St, Clayton, GA 30525-4266 | 2013-04-11 |
| 1982857504 | Carey Winn Reynolds | Massage Therapist | 320 Smith St, Clayton, GA 30525-4261 | 2008-10-28 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.