Individual
NOBUHIRO WAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1295 W SPRING ST SE STE 230, SMYRNA, GA 30080-3676
(770) 436-3555
Mailing address
2950 MOUNT WILKINSON PKWY SE APT NO902, ATLANTA, GA 30339-3637
(770) 333-6198
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
70
GA
Other
Enumeration date
01/22/2022
Last updated
02/12/2022
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