Individual
TAIAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2324 N FOREST DR, MARIETTA, GA 30062-6511
(770) 993-6008
Mailing address
2324 N FOREST DR, MARIETTA, GA 30062-6511
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00278
GA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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