Provider Demographics
NPI:1194489823
Name:AAHOM LLC
Entity type:Organization
Organization Name:AAHOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:MCGIMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MOM
Authorized Official - Phone:828-413-0567
Mailing Address - Street 1:705 NORTHEAST DR STE 14
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7431
Mailing Address - Country:US
Mailing Address - Phone:828-413-0567
Mailing Address - Fax:704-926-8234
Practice Address - Street 1:705 NORTHEAST DR STE 14
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7431
Practice Address - Country:US
Practice Address - Phone:828-413-0567
Practice Address - Fax:704-926-8234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty