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Individual

HONG FENG SHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
3939 LAVISTA RD STE E110, TUCKER, GA 30084-5162
(404) 683-8757
(678) 683-8757
Mailing address
3939 LAVISTA RD STE E110, TUCKER, GA 30084-5162
(404) 683-8757
(678) 508-0351

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3306
GA

Other

Enumeration date
01/15/2010
Last updated
09/22/2021
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