Healthcare Provider Details

I. General information

NPI: 1558291658
Provider Name (Legal Business Name): TANG TRADITIONAL ACUPUNCTURE AND CHINESE MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 SUNSET RIDGE RD STE 302
RALEIGH NC
27607-6681
US

IV. Provider business mailing address

2500 SIDEWINDER CT
APEX NC
27523-8503
US

V. Phone/Fax

Practice location:
  • Phone: 919-503-3558
  • Fax: 919-823-6060
Mailing address:
  • Phone: 919-503-3558
  • Fax: 919-823-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ZHENGDONG TANG
Title or Position: OWNER
Credential: L.AC
Phone: 984-584-8502