Individual
JULIA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 10TH AVE, COLUMBUS, GA 31901-3600
(706) 571-1430
Mailing address
1900 10TH AVE, COLUMBUS, GA 31901-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007738
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85466
STATE LICENSE
GA
Enumeration date
04/07/2015
Last updated
09/09/2020
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