Provider Demographics
NPI:1073760013
Name:CHENG'S ACUPUNCTURE & HERB INC
Entity Type:Organization
Organization Name:CHENG'S ACUPUNCTURE & HERB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MING
Authorized Official - Middle Name:MING
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC TCMD LICENSED AC
Authorized Official - Phone:770-963-3936
Mailing Address - Street 1:575 WEST PIKE STREET
Mailing Address - Street 2:STE #15
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045
Mailing Address - Country:US
Mailing Address - Phone:770-963-3936
Mailing Address - Fax:770-963-3936
Practice Address - Street 1:575 WEST PIKE STREET
Practice Address - Street 2:STE #15
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045
Practice Address - Country:US
Practice Address - Phone:770-963-3936
Practice Address - Fax:770-963-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000067171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty