Individual
MISS ERJIA BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11205 ABBOTTS WALK DR, DULUTH, GA 30097-8457
(770) 365-7337
Mailing address
11205 ABBOTTS WALK DR, DULUTH, GA 30097-8457
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85357
GA
Other
Enumeration date
06/07/2017
Last updated
04/20/2020
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