Organization
SHALLOWFORD HERBALS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY J. GOLDEN (CHIEF EXECYTIVE OFFICER)
(678) 760-2235
Entity
Organization
Contact information
Practice address
6021 NEW PEACHTREE RD, DORAVILLE, GA 30340-1012
(770) 455-8851
(770) 455-8851
Mailing address
6021 NEW PEACHTREE RD, DORAVILLE, GA 30340-1012
(770) 455-8851
(770) 455-8851
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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