MEDICARE: OAK & WILLOW ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	605	NC

General Provider Information

NPI Number	:	1275810046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK & WILLOW ACUPUNCTURE

Provider Business Mailing Address
First Line	:	264 CRAGMONT RD
Second Line	:
City	:	BLACK MOUNTAIN
State	:	NC
Zip	:	28711-2813
Country	:	US
Telephone Number	:	828-337-0803
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 CARL ELLER RD
Second Line	:
City	:	MARS HILL
State	:	NC
Zip	:	28754-6000
Country	:	US
Telephone Number	:	828-337-0803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIA DAWN JONES
Credential	:	LAC
Telephone Number	:	828-337-0803

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	11/08/2011

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Directions to “OAK & WILLOW ACUPUNCTURE ” Practice Location

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