Individual
YIFAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP-C
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1801 BROOKSIDE LAY CIR, NORCROSS, GA 30093-1119
(678) 670-7587
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN283437
GA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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