MEDICARE: JIN BONG HWANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	468	NC
2	173C00000X	Reflexologist	7857	NC

General Provider Information

NPI Number	:	1487072500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIN BONG HWANG

Provider Business Mailing Address
First Line	:	7406 CHAPEL HILL RD STE G
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-5039
Country	:	US
Telephone Number	:	919-851-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	7406 CHAPEL HILL RD STE G
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-5039
Country	:	US
Telephone Number	:	919-851-6191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2014
Last Update Date	:	04/05/2014

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Directions to “ JIN BONG HWANG ” Practice Location

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