Organization
ALTERNATIVE HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN LI DONG (PRESIDENT)
(843) 692-9243
Entity
Organization
Contact information
Practice address
4810 N KINGS HWY, MYRTLE BEACH, SC 29577-2504
(843) 692-9243
(843) 692-9245
Mailing address
PO BOX 50727, MYRTLE BEACH, SC 29579-0013
(843) 692-9243
(843) 692-9245
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1602
SC
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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