Provider Demographics
NPI:1689936403
Name:AOH PC
Entity Type:Organization
Organization Name:AOH PC
Other - Org Name:THE ART OF HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOESER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-614-3018
Mailing Address - Street 1:2394 SUWANEE POINTE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-1330
Mailing Address - Country:US
Mailing Address - Phone:770-614-3018
Mailing Address - Fax:
Practice Address - Street 1:4330 S LEE ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3072
Practice Address - Country:US
Practice Address - Phone:770-614-3018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CHIR007354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCJWWMedicare UPIN