Healthcare Provider Details

I. General information

NPI: 1588593057
Provider Name (Legal Business Name): NEW DONG BANG ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 N BERKELEY LAKE RD NW STE B120
DULUTH GA
30096-3002
US

IV. Provider business mailing address

2645 N BERKELEY LAKE RD NW STE B120
DULUTH GA
30096-3002
US

V. Phone/Fax

Practice location:
  • Phone: 865-773-7840
  • Fax: 404-868-4725
Mailing address:
  • Phone: 865-773-7840
  • Fax: 404-868-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SOONLEM CHOE
Title or Position: OFFICE MANAGER
Credential:
Phone: 770-902-2780