Organization
SOUTH BAYLO CLINIC
Active
Other names
South Baylo University VA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAE O KIM (FINANCIAL OFFICER)
(703) 762-6048
Entity
Organization
Contact information
Practice address
7535 LITTLE RIVER TURNPIKE, 310E, ANNANDALE, VA 22003
(703) 642-7527
(703) 642-7528
Mailing address
7535 LITTLE RIVER TURNPIKE, 310E, ANNANDALE, VA 22003
(703) 642-7527
(703) 642-7528
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000694
VA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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