Healthcare Provider Details

I. General information

NPI: 1003071002
Provider Name (Legal Business Name): HEALING HANDS ACUPUNCTURE & HERBAL CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2008
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6207 PARK SOUTH DR
CHARLOTTE NC
28210-3244
US

IV. Provider business mailing address

6207 PARK SOUTH DR SUITE 101
CHARLOTTE NC
28210-3267
US

V. Phone/Fax

Practice location:
  • Phone: 704-571-8783
  • Fax:
Mailing address:
  • Phone: 704-571-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number491
License Number StateNC

VIII. Authorized Official

Name: ADRIENNE WEI
Title or Position: CO-OWNER
Credential: L.AC.
Phone: 704-571-8783