Healthcare Provider Details

I. General information

NPI: 1962537324
Provider Name (Legal Business Name): HONG ZHANG ACPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 GROVE RD SUITE E
GREENVILLE SC
29605-4626
US

IV. Provider business mailing address

1003 GROVE RD SUITE E
GREENVILLE SC
29605-4626
US

V. Phone/Fax

Practice location:
  • Phone: 864-232-8417
  • Fax: 864-232-1511
Mailing address:
  • Phone: 864-232-8417
  • Fax: 864-232-1511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number6
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: