NPI 1184908055

Shijun Li, LACOMD

Practitioner Acupuncturist Marietta, GA

Practice location

Address: 1230 Johnson Ferry Pl Bldg 2, STE I-40, Marietta, GA 30068-2048
Phone: (678) 273-2472
Mailing address: 1230 Johnson Ferry Road, Bldg 2 STE I-40, Marietta, GA 30068

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 000262 (GA)

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Registry record

NPI: 1184908055
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2011
Record last updated: 10 Oct 2011

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.