Organization
LAVISTA ACUPUNCTURE AND HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WELCH (OWNER)
(404) 528-3500
Entity
Organization
Contact information
Practice address
4915 LAVISTA RD, TUCKER, GA 30084
(404) 528-3500
Mailing address
4915 LAVISTA RD, TUCKER, GA 30084-8520
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
310
GA
Other
Enumeration date
10/04/2017
Last updated
06/12/2018
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