| Organization Name: | DANA HEALTH AND WELLNESS CENTER INC |
| NPI Number: | 1023421914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WOO JIN KIM (PRESIDENT) |
| Mailing Address: | 2472 Pleasant Hill Rd Suite 203a Duluth |
| State: | GA US |
| Postal Code: | 300961746 |
| Phone Number: | 7706239229 |
| Fax Number: | 8668688705 |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 27746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |