NPI 1063844421
South Baylo Clinic
Practice location
- Address
- 7535 Little River Turnpike 310e, Annandale, VA 22003
- Phone
- (703) 642-7527
- Fax
- (703) 642-7528
Authorised official
- Name
- Tae O Kim
- Title
- Financial Officer
- Phone
- (703) 762-6048
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1063844421
- Entity type
- Organization
- NPI issued
- 7 Aug 2013
- Record last updated
- 7 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.