MEDICARE: NEW DONG BANG ACUPUNCTURE LLC

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

General Provider Information

NPI Number	:	1588593057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DONG BANG ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	2645 N BERKELEY LAKE RD NW STE B120
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3002
Country	:	US
Telephone Number	:	865-773-7840
Fax Number	:	404-868-4725

Provider Business Practice Location Address
First Line	:	2645 N BERKELEY LAKE RD NW STE B120
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3002
Country	:	US
Telephone Number	:	865-773-7840
Fax Number	:	404-868-4725

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SOONLEM CHOE
Credential	:
Telephone Number	:	770-902-2780

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/20/2026

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