Organization
HEALTHY BODY AND SOUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEENA COOK L.AC (FOUNDER)
(470) 266-1550
Entity
Organization
Contact information
Practice address
3461 LAWRENCEVILLE SUWANEE RD, SUITE B, SUWANEE, GA 30024
(470) 266-1550
Mailing address
3461 LAWRENCEVILLE SUWANEE RD, SUITE B, SUWANEE, GA 30024
(470) 266-1550
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
285
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104222538
INDIVIDUAL NPI
GA
01
—
1588920730
INDIVIDUAL NPIS
GA
Enumeration date
03/05/2015
Last updated
03/05/2015
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