Organization
ATLANTA HOLISTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI JIANG (MANAGER)
(404) 697-6886
Entity
Organization
Contact information
Practice address
320 WINN WAY STE 101, DECATUR, GA 30030-2106
(404) 697-6886
Mailing address
455 VILLA PLACE CT, TUCKER, GA 30084-1958
(404) 697-6886
(470) 823-4926
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55
ACUPUNCTURE LICENSE NUMBER
GA
Enumeration date
06/14/2017
Last updated
06/14/2017
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