MEDICARE: TO THE POINT ACUPUNCTURE, LLC

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	397	NC

General Provider Information

NPI Number	:	1821512443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TO THE POINT ACUPUNCTURE, LLC

Provider Business Mailing Address
First Line	:	124 BAYBERRY WOODS DR
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-6403
Country	:	US
Telephone Number	:	919-621-3363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 JONES FRANKLIN RD STE 202
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-3351
Country	:	US
Telephone Number	:	919-621-3363
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/LICENSED ACUPUNCTURIST
Name	:	MRS. JILLIAN LEE DOAN
Credential	:	L.AC.
Telephone Number	:	919-621-3363

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

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