Provider Demographics
NPI:1912126962
Name:PIAO, DOUFENG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:DOUFENG
Middle Name:
Last Name:PIAO
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:MRS
Other - First Name:FUZI
Other - Middle Name:
Other - Last Name:GAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:2645 N BERKELEY LAKE RD NW
Mailing Address - Street 2:SUITE 133
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3002
Mailing Address - Country:US
Mailing Address - Phone:770-814-9898
Mailing Address - Fax:770-814-9898
Practice Address - Street 1:2645 N BERKELEY LAKE RD NW
Practice Address - Street 2:SUITE 133
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3002
Practice Address - Country:US
Practice Address - Phone:770-814-9898
Practice Address - Fax:770-814-9898
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000058171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist