| NPI | 1255951182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI NICHOLSON Owner 404-406-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |