Provider Demographics
NPI:1780043547
Name:H & Z ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:H & Z ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC.
Authorized Official - Prefix:
Authorized Official - First Name:XIAOWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-630-6819
Mailing Address - Street 1:57 EXECUTIVE PARK S
Mailing Address - Street 2:150
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2288
Mailing Address - Country:US
Mailing Address - Phone:770-630-6819
Mailing Address - Fax:404-325-9881
Practice Address - Street 1:57 EXECUTIVE PARK S
Practice Address - Street 2:150
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2288
Practice Address - Country:US
Practice Address - Phone:770-630-6819
Practice Address - Fax:404-325-9881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA190261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty