Individual
HONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3576 SHALLOWFORD RD NE, SUITE A, CHAMBLEE, GA 30341-2998
(770) 451-9940
(770) 451-6996
Mailing address
217 SOUTHERN HILL DR, DULUTH, GA 30097-2062
(770) 495-7071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00836569B
—
GA
01
—
0101639
UNITED HEALTHCARE
GA
01
—
52782938002
BCBS
GA
01
—
796101
CIGNA HMO
GA
01
—
890754
ONE HEALTH PLAN
GA
Enumeration date
03/28/2006
Last updated
05/17/2010
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