Healthcare Provider Details

I. General information

NPI: 1063737948
Provider Name (Legal Business Name): YAOQING HUANG LIC. ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2010
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 LATROBE DR SUITE 320
CHARLOTTE NC
28211-4824
US

IV. Provider business mailing address

3705 LATROBE DR SUITE 320
CHARLOTTE NC
28211-4824
US

V. Phone/Fax

Practice location:
  • Phone: 704-366-6818
  • Fax: 704-366-6818
Mailing address:
  • Phone: 704-366-6818
  • Fax: 704-366-6818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number072
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: