Healthcare Provider Details

I. General information

NPI: 1386317063
Provider Name (Legal Business Name): MENG XIONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 BRAWLEY SCHOOL RD STE E
MOORESVILLE NC
28117-9283
US

IV. Provider business mailing address

7340 NE 142ND PL APT C
KIRKLAND WA
98034-4953
US

V. Phone/Fax

Practice location:
  • Phone: 704-664-1031
  • Fax: 704-664-1035
Mailing address:
  • Phone: 253-993-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: