Healthcare Provider Details

I. General information

NPI: 1750207635
Provider Name (Legal Business Name): SHARON DEARMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AKUA MAAT

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 PEACHTREE INDUSTRIAL BLVD # J3000
DULUTH GA
30097-7902
US

IV. Provider business mailing address

2615 PEACHTREE INDUSTRIAL BLVD # J3000
DULUTH GA
30097-7902
US

V. Phone/Fax

Practice location:
  • Phone: 404-437-3671
  • Fax:
Mailing address:
  • Phone: 404-437-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: