Provider Demographics
NPI:1073237764
Name:YES ACUPUNCTURE & CHIROPRACTIC
Entity Type:Organization
Organization Name:YES ACUPUNCTURE & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WOOJIN PARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:770-497-0882
Mailing Address - Street 1:2005 BOGGS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4602
Mailing Address - Country:US
Mailing Address - Phone:770-497-0882
Mailing Address - Fax:
Practice Address - Street 1:2005 BOGGS RD STE 106
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4602
Practice Address - Country:US
Practice Address - Phone:770-497-0882
Practice Address - Fax:770-497-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty