Healthcare Provider Details

I. General information

NPI: 1164332086
Provider Name (Legal Business Name): ORIENTAL ACUPUNCTURE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOUZE WAY STE C1
ROSWELL GA
30076-1446
US

IV. Provider business mailing address

600 HOUZE WAY STE C1
ROSWELL GA
30076-1446
US

V. Phone/Fax

Practice location:
  • Phone: 770-545-8155
  • Fax: 770-200-1610
Mailing address:
  • Phone: 770-545-8155
  • 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: PRESIDENT
Credential: LAC
Phone: 770-545-8155