Provider Demographics
NPI:1508593229
Name:EVER WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:EVER WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEALTH CARE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIJUN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, ACUPUNCTURIST
Authorized Official - Phone:678-273-2472
Mailing Address - Street 1:1230 JOHNSON FERRY PL BLDG2 STE I-20
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2048
Mailing Address - Country:US
Mailing Address - Phone:678-273-2472
Mailing Address - Fax:
Practice Address - Street 1:1230 JOHNSON FERRY PL BLDG2 STE I-20
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2048
Practice Address - Country:US
Practice Address - Phone:678-273-2472
Practice Address - Fax:470-407-6985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty