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NPI Code Detail

MEDICARE: JUNG TAO SCHOOL OF CLASSICAL CHINESE MEDICINE

MEDICARE: JUNG TAO SCHOOL OF CLASSICAL CHINESE MEDICINE
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1598366411
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNG TAO SCHOOL OF CLASSICAL CHINESE MEDICINE
Provider Business Mailing Address
First Line : 207 DALE ADAMS RD
Second Line :
City : SUGAR GROVE
State : NC
Zip : 28679-9657
Country : US
Telephone Number : 828-297-4161
Fax Number : 828-297-4171
Provider Business Practice Location Address
First Line : 207 DALE ADAMS RD
Second Line :
City : SUGAR GROVE
State : NC
Zip : 28679-9657
Country : US
Telephone Number : 828-297-4161
Fax Number : 828-297-4171
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : JOHN GREGORY BRYSON
Credential : CMT, LAC
Telephone Number : 828-297-4161
Provider Enumeration Date : 11/06/2020
Last Update Date : 11/06/2020

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Directions to “JUNG TAO SCHOOL OF CLASSICAL CHINESE MEDICINE ” Practice Location

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