Individual
QIUPING A PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 VETERAN BLVD, DUBLIN, GA 31021
(478) 272-1210
Mailing address
3245 FLOWERS RD S APT V, ATLANTA, GA 30341-5680
(770) 457-6043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65409
GA
Other
Enumeration date
04/15/2008
Last updated
02/20/2012
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