Provider Demographics
NPI:1265392146
Name:HWANG, YOSUN (LAC)
Entity type:Individual
Prefix:PROF
First Name:YOSUN
Middle Name:
Last Name:HWANG
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 1:3525 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4752
Mailing Address - Country:US
Mailing Address - Phone:470-723-4866
Mailing Address - Fax:
Practice Address - Street 1:3525 MALL BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4752
Practice Address - Country:US
Practice Address - Phone:470-723-4866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist