Provider Demographics
NPI:1861063885
Name:ACUPUNCTURE ATLANTA INC.
Entity type:Organization
Organization Name:ACUPUNCTURE ATLANTA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-233-5080
Mailing Address - Street 1:455 E PACES FERRY RD NE STE 222
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3319
Mailing Address - Country:US
Mailing Address - Phone:404-233-5080
Mailing Address - Fax:
Practice Address - Street 1:455 E PACES FERRY RD NE STE 222
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3319
Practice Address - Country:US
Practice Address - Phone:404-233-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty