Provider Demographics
NPI:1063655488
Name:WEI, YUANLIN (LAC (GEROGIA LICENSE)
Entity Type:Individual
Prefix:DR
First Name:YUANLIN
Middle Name:
Last Name:WEI
Suffix:
Gender:F
Credentials:LAC (GEROGIA LICENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5815 LIVE OAK PKWY
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093
Mailing Address - Country:US
Mailing Address - Phone:770-449-4444
Mailing Address - Fax:
Practice Address - Street 1:5815 LIVE OAK PKWY
Practice Address - Street 2:SUITE 2D
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093
Practice Address - Country:US
Practice Address - Phone:770-449-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA 000116171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist