Provider Demographics
NPI:1467758490
Name:JIN, ZHEN JI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ZHEN
Middle Name:JI
Last Name:JIN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 OLD NORCROSS RD
Mailing Address - Street 2:STE. A
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4613
Mailing Address - Country:US
Mailing Address - Phone:770-813-2213
Mailing Address - Fax:770-813-2219
Practice Address - Street 1:3607 OLD NORCROSS RD
Practice Address - Street 2:STE. A
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4613
Practice Address - Country:US
Practice Address - Phone:770-813-2213
Practice Address - Fax:770-813-2219
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA77171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist