Organization
TWO DRAGONS TAI CHI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE DOUGLAS MCFADDEN JR. (CO-OWNER)
(404) 624-6151
Entity
Organization
Contact information
Practice address
4373 MARJORIE RD, SNELLVILLE, GA 30039-6538
(404) 624-6151
(770) 860-1815
Mailing address
4373 MARJORIE RD, SNELLVILLE, GA 30039-6538
(404) 624-6151
(770) 860-1815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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