Provider Demographics
NPI:1467677062
Name:DU, LI (LICENSE ACUPUNCTURIS)
Entity Type:Individual
Prefix:MS
First Name:LI
Middle Name:
Last Name:DU
Suffix:
Gender:F
Credentials:LICENSE ACUPUNCTURIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:C-200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1556
Mailing Address - Country:US
Mailing Address - Phone:404-368-6196
Mailing Address - Fax:404-256-2795
Practice Address - Street 1:5775 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:C-200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1556
Practice Address - Country:US
Practice Address - Phone:404-368-6196
Practice Address - Fax:404-256-2795
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000042171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist