Akinyi Osano, DAC, LAC. DOM

Individual provider Active NPI Acupuncturist · Douglasville, GA

NPI 1922491380 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1922491380
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
GA325 (GA)
Practice address
7193 Douglas Blvd Ste 206
Douglasville, GA 30135-1540
Phone
(888) 871-1884
Fax
(888) 871-1884
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
GA325GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Herbs Clinic Inc Acupuncturist Past Accepting new patients
Acupuncture Herbs Clinic Acupuncturist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X GA325 GA Yes

Addresses

Primary practice location

7193 Douglas Blvd Ste 206
Douglasville, GA 30135-1540

Mailing address

PO Box 6864
Douglasville, GA 30154-0032
Phone (888) 871-1884

Other practice location 1

7193 Douglas Blvd
Suite 102D
Douglasville, GA 30135-1540
Phone (888) 871-1884

Other providers in Douglasville, GA

All providers in Douglasville, GA · Acupuncturist in Georgia

Sources for this page

Verify at the official NPI Registry.