Provider Demographics
NPI:1588980155
Name:CHEN, HONG (LAC)
Entity type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 HARBINS RD
Mailing Address - Street 2:#3A
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-4329
Mailing Address - Country:US
Mailing Address - Phone:770-736-3132
Mailing Address - Fax:
Practice Address - Street 1:2296 HENRY CLOWER BLVD
Practice Address - Street 2:#3A
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-3147
Practice Address - Country:US
Practice Address - Phone:770-736-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA233171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist