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NPI Code Detail

MEDICARE: SUWANEE HOLISTIC CARE

MEDICARE: SUWANEE HOLISTIC CARE
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
1225700000XMassage Therapist
2171100000XAcupuncturist

General Provider Information

NPI Number : 1669265252
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUWANEE HOLISTIC CARE
Provider Business Mailing Address
First Line : 4000 SMITHTOWN RD
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 770-695-7606
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 770-695-7606
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JENNIFER WEN
Credential :
Telephone Number : 678-707-0105
Provider Enumeration Date : 05/27/2025
Last Update Date : 05/27/2025

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Directions to “SUWANEE HOLISTIC CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.