Healthcare Provider Details

I. General information

NPI: 1215716212
Provider Name (Legal Business Name): BEIJING ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 N BERKELEY LAKE RD NW STE 133
DULUTH GA
30096-1461
US

IV. Provider business mailing address

2645 N BERKELEY LAKE RD NW STE 133
DULUTH GA
30096-1461
US

V. Phone/Fax

Practice location:
  • Phone: 770-814-9898
  • Fax: 770-200-1610
Mailing address:
  • Phone: 770-814-9898
  • Fax: 770-200-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: FUZI GAO
Title or Position: MANAGER
Credential: LAC
Phone: 770-814-9898