Organization
RIO ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAESUN PARK DOM (CEO)
(770) 451-7848
Entity
Organization
Contact information
Practice address
5441 BUFORD HWY NE STE 202, DORAVILLE, GA 30340-1168
(770) 451-7848
Mailing address
5441 BUFORD HWY NE STE 202, DORAVILLE, GA 30340-1168
(770) 451-7848
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
125
GA
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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