Shallowford Herbals,llc

NPI #1205361748 in Doraville, Georgia

Provider Information

NPI Number: 1205361748
Entity Type: Organization
Organization Name: Shallowford Herbals,llc
Primary Specialty: Acupuncturist
Enumeration Date: Apr 21, 2017
Last Updated: Apr 21, 2017

Practice Location

Address: 6021 NEW PEACHTREE RD
City: Doraville
State: Georgia
ZIP Code: 30340-1012
Phone: (770) 455-8851

Authorized Official

Name: MR. WESLEY J. GOLDEN
Title: CHIEF EXECYTIVE OFFICER
Phone: (678) 760-2235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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