MEDICARE: MING ACUPUNCTURE & WELLNESS 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	NC-850	NC

General Provider Information

NPI Number	:	1912404278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MING ACUPUNCTURE & WELLNESS LLC

Provider Business Mailing Address
First Line	:	112 WINTERVIEW PL
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-6246
Country	:	US
Telephone Number	:	919-725-1778
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 CANDUN DR STE 104
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-6413
Country	:	US
Telephone Number	:	919-823-1789
Fax Number	:	919-516-9725

Authorized Official
Title or Position	:	OWNER
Name	:	YANMING XIA
Credential	:	LAC
Telephone Number	:	919-823-1789

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	01/24/2024

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