# POTOMAC ACUCLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235791088
- **Authorized official:** DR. SEUNG J PARK PH.D , L.AC (OWNER)
- **Authorized official phone:** (770) 820-7163

## Contact information

- **Practice address:** 9800 FALLS RD STE 101, POTOMAC, MD 20854-3939
- **Practice address phone:** (240) 802-0025
- **Mailing address:** 10615 GREAT ARBOR DR, POTOMAC, MD 20854-4220
- **Mailing address phone:** (770) 820-7163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 07/02/2019