Park, Bodanielle S

Park, Bodanielle S is an sole proprietor health care provider with primary practice located at 333 Swanson Dr Ste 102 , Lawrenceville GA 30043-8537. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Park, Bodanielle S can be contacted via phone (678) 878-3069.

Contact Information

Primary practice address
333 Swanson Dr Ste 102 Lawrenceville GA 30043-8537
Phone: (678) 878-3069
Fax: (678) 878-4455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 355 Georgia

Profile Details

NPI number 1013287150
LBN Legal business name Park, Bodanielle S
Credentials L.AC, PHDOM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Feb 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers