MEDICARE: MR. DOUFENG PIAO ACUPUNCTURIST

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	000058	GA

General Provider Information

NPI Number	:	1912126962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUFENG PIAO ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	2645 N BERKELEY LAKE RD NW
Second Line	:	SUITE 133
City	:	DULUTH
State	:	GA
Zip	:	30096-3002
Country	:	US
Telephone Number	:	770-814-9898
Fax Number	:	770-814-9898

Provider Business Practice Location Address
First Line	:	2645 N BERKELEY LAKE RD NW
Second Line	:	SUITE 133
City	:	DULUTH
State	:	GA
Zip	:	30096-3002
Country	:	US
Telephone Number	:	770-814-9898
Fax Number	:	770-814-9898

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	09/19/2012

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