| Fountain Of Youth Acupuncture Llc | |
|
1474 Sc-160, Suite 103, Fort Mill, SC 29715 | |
| (201) 741-6802 | |
| Not Available |
| Full Name | Fountain Of Youth Acupuncture Llc |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 1474 Sc-160, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932820925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Youth Acupuncture Llc 1083 Gennett Cir Apt 209, Fort Mill, SC 29715-6243 Ph: (201) 741-6802 | Fountain Of Youth Acupuncture Llc 1474 Sc-160, Suite 103, Fort Mill, SC 29715 Ph: (201) 741-6802 |
Mr. Timothy Iliff Jr., LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1171 Market St Ste 112, Fort Mill, SC 29708 Phone: 803-802-7799 | |
Mr. Kristien M Boyle, L.AC., MSOM., DIPL.O Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 127 Ben Casey Dr, Suite #104, Fort Mill, SC 29708 Phone: 704-308-2557 | |
Damien Donovan, DAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1025 Bailes Ridge Ave Apt 9-108, Fort Mill, SC 29707 Phone: 941-278-2920 | |
Ms. Brenda Terry, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1171 Market Street, Ste # 112, Fort Mill, SC 29708 Phone: 803-802-7799 Fax: 803-802-7850 |