Individual
MAI LI DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(770) 963-9905
(770) 962-9814
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(770) 963-9905
(770) 962-9814
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
027361
PA
207L00000X
Anesthesiology Physician
Primary
045770
GA
Other
Enumeration date
01/10/2006
Last updated
05/28/2013
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