MEDICARE: DR. MARK AARON LEWINTER DACM, L.AC.

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	171100000X	Acupuncturist	39	GA

General Provider Information

NPI Number	:	1558587188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK AARON LEWINTER DACM, L.AC.

Provider Business Mailing Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	STE 175
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-255-8388
Fax Number	:	404-255-1831

Provider Business Practice Location Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	STE 175
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-255-8388
Fax Number	:	404-255-1831

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	10/05/2021

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