Provider Demographics
NPI:1962067868
Name:TOONE, DAVID (MSOM, L AC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:TOONE
Suffix:
Gender:M
Credentials:MSOM, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 HIGHWAY 54 W
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4742
Mailing Address - Country:US
Mailing Address - Phone:770-783-1663
Mailing Address - Fax:
Practice Address - Street 1:1836 HIGHWAY 54 W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4742
Practice Address - Country:US
Practice Address - Phone:770-783-1883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA197171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty