Dogwood Healing Arts
Clinic/Center in Decatur, GA. Organization (NPI-2).
NPI number1982129326
StatusActive
Last updated in NPPESAug 17, 2017
Details
- NPI
- 1982129326
- Entity type
- Organization (NPI-2)
- Legal business name
- Dogwood Healing Arts
- Organization subpart
- No
- Enumeration date
- Aug 7, 2017
- Last updated
- Aug 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 352 | GA | Yes |
Practice location
619 E College Ave Ste BDecatur, GA 30030-5323
Phone 404-695-0905
Mailing address
1029 Sans Souci WayClarkston, GA 30021-2732
Authorized official
Karen Lang
Owner
4046950905
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