Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BODANIELLE S PARK, L.AC, PHDOM
Active Sole ProprietorDR. BODANIELLE S PARK, L.AC, PHDOM is a Acupuncturist healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1013287150 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1013287150
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2012 (14.583553593483 yrs)
- Last Updated
- Feb 17, 2021
- License
-
355 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 SWANSON DR STE 102LAWRENCEVILLE, GA, 300438537Browse GA providers · Browse ZIP 30043
- Phone
- 6788783069
- Fax
- 6788784455
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY SAUL | LAC,DIPL.AC. | 1619004553 |
| MING MING CHENG | — | 1073769089 |
| LEENA COOK | — | 1588920730 |
| SEONG KEUN PARK | L.AC. | 1245592211 |
| AZURE DUAN | L.AC., DIPL. O.M. | 1518348044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.