Individual
EUN HA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
2735 MCGINNIS FERRY RD UNIT 1525, SUWANEE, GA 30024-5807
(470) 399-7697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
278209
GA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
10002858
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
158090
GA
Other
Enumeration date
07/15/2024
Last updated
07/06/2026
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