Individual
MRS. JUAN HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 WINDY HILL RD SE, SUITE 215, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 850-9727
Mailing address
2550 WINDY HILL RD SE, SUITE 215, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 850-9727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141265B
—
GA
05
—
003141265C
—
GA
05
—
003141265D
—
GA
05
—
003141265E
—
GA
05
—
003141265F
—
GA
Enumeration date
03/17/2010
Last updated
01/13/2015
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