Organization
CHINESE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIE WANG L.A.C, ACUPUNCTURIST (OWNER/HEATH CARE PROVIDER)
(678) 770-7207
Entity
Organization
Contact information
Practice address
600 HOUZE WAY SUITE E-4, ROSWELL, GA 30076
(678) 770-7207
(470) 407-6985
Mailing address
600 HOUZE WAY SUITE E-4, ROSWELL, GA 30076
(678) 770-7207
(470) 407-6985
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52012427
BCBS INSURANCE
GA
Enumeration date
12/27/2021
Last updated
12/27/2021
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