Provider Demographics
NPI:1770032617
Name:ONE HEALTH GROUP LLC
Entity Type:Organization
Organization Name:ONE HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:470-395-8988
Mailing Address - Street 1:3473 OLD NORCROSS RD
Mailing Address - Street 2:STE 306
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4610
Mailing Address - Country:US
Mailing Address - Phone:470-395-8988
Mailing Address - Fax:470-426-5090
Practice Address - Street 1:3473 OLD NORCROSS RD
Practice Address - Street 2:STE 306
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4610
Practice Address - Country:US
Practice Address - Phone:470-395-8988
Practice Address - Fax:470-426-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty