NPI | 1801257720 |
---|---|
Entity Type | Organization |
Authorized Contact | JIHO CHOI Owner/Staff Physician 910-920-0048 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0081318) |
Additional Taxonomies | 171100000X Acupuncturist |
225700000X Massage Therapist | |
Enumeration Date | 2016-03-20 |
Last Update Date | 2020-05-09 |