| NPI | 1598064768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B. ADCOCK Co Owner/President 770-853-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: GA 000139) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: GA 000185) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |