Provider Demographics
NPI:1194001248
Name:NATURAL HEALTH CENTER OF AIKEN
Entity Type:Organization
Organization Name:NATURAL HEALTH CENTER OF AIKEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DE GRAAF
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:803-522-0031
Mailing Address - Street 1:303 SILVER BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-6007
Mailing Address - Country:US
Mailing Address - Phone:803-226-0178
Mailing Address - Fax:
Practice Address - Street 1:303 SILVER BLUFF RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6007
Practice Address - Country:US
Practice Address - Phone:803-226-0178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty