Provider Demographics
NPI:1730894379
Name:HEMMINGS, RAYMOND PERCIVAL
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:PERCIVAL
Last Name:HEMMINGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 HOWELL MILL RD NW APT 3012
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2755
Mailing Address - Country:US
Mailing Address - Phone:786-620-6722
Mailing Address - Fax:
Practice Address - Street 1:1950 HOWELL MILL RD NW APT 3012
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2755
Practice Address - Country:US
Practice Address - Phone:786-620-6722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT012822225700000X
FLMA90757225700000X
MT012822225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist