Organization Active NPI

Hansong Oriental Medicine Clinic LLC

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1841528122
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
253 Issued in GA
Legal business name
HANSONG ORIENTAL MEDICINE CLINIC LLC
Practice address
2442 Pleasant Hill Rd Ste 5
Duluth, GA 30096-1710
Phone
(770) 622-4320
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Han D Song
Title
Ceo
Phone
(770) 622-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 253 GA Primary

Addresses

Primary practice location

2442 Pleasant Hill Rd Ste 5
Duluth, GA 30096-1710

Mailing address

2442 Pleasant Hill Rd Ste 5
Duluth, GA 30096-1710
Phone (770) 622-4320

National Provider Directory

National Provider Directory

Locations

2442 Pleasant Hill Rd
Ste 5
Duluth, GA 30096
Phone (770) 622-4320

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1841528122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 PLEASANT HILL RD STE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961710",
            "telephone_number": "770-622-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 PLEASANT HILL RD STE 5",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961710",
            "telephone_number": "770-622-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSONG ORIENTAL MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-622-4320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.