Individual
MRS. NICOLE COUGHLIN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2424 DRAYTON ST # 11, SAVANNAH, GA 31401-9195
(912) 655-0330
Mailing address
509 E 41ST ST, SAVANNAH, GA 31401-9316
(912) 655-0330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
11808
CA
171100000X
Acupuncturist
Primary
221
GA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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