NPI 1568733582

Taian Wang, LAC

Practitioner Acupuncturist Marietta, GA

Practice location

Address: 2324 N Forest Dr, Marietta, GA 30062-6511
Phone: (770) 993-6008

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 00278 (GA)

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Registry record

NPI: 1568733582
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2012
Record last updated: 23 Jan 2012

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.