Healthcare Provider Details

I. General information

NPI: 1932318508
Provider Name (Legal Business Name): YING HUANG DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHANEL HUANG DC

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5239 HIGHWAY 278 NE
COVINGTON GA
30014-2671
US

IV. Provider business mailing address

864 SAINTS DR
MARIETTA GA
30068-4706
US

V. Phone/Fax

Practice location:
  • Phone: 770-385-0045
  • Fax: 770-787-6588
Mailing address:
  • Phone: 678-591-0241
  • Fax: 770-787-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number05058
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: