Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Neuromuscular Massage Therapy, Inc

Organization Internal Medicine Physician · NPI 1821345356

Southeastern Neuromuscular Massage Therapy, Inc is an Internal Medicine Physician in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Madison Ave N
Douglas, GA 31533-4604
Phone: (912) 383-4934
Fax: (912) 383-4934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT003853 (GA)
Internal Medicine Physician Taxonomy 207R00000X (GA)

Record details

NPI number1821345356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Stevens — Therapist · (912) 383-4934
NPI enumeratedAugust 15, 2012
Last updated in NPPESSeptember 3, 2013
Mailing address112 N. Madison Ave., Douglas, GA 31533

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