| Sweetwater Collective Llc | |
|
101 Devant St Ste 1001, Fayetteville, GA 30214-2719 | |
| (678) 310-3182 | |
| (678) 788-6690 |
| Full Name | Sweetwater Collective Llc |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 101 Devant St Ste 1001, Fayetteville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578139218 | NPI | - | NPPES |
| 521 | Other | GA | ACUPUNCTURIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetwater Collective Llc 101 Devant St Ste 1001, Fayetteville, GA 30214-2719 Ph: (678) 310-3182 | Sweetwater Collective Llc 101 Devant St Ste 1001, Fayetteville, GA 30214-2719 Ph: (678) 310-3182 |
Barbara Joie Jacala, LAC AEMP Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 101 Devant St Ste 1001, Fayetteville, GA 30214 Phone: 678-310-3182 Fax: 678-788-6690 | |
Dr. David Toone, MSOM, L. AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1836 Highway 54 W, Fayetteville, GA 30214 Phone: 770-783-1883 |