Individual
DUO LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 785-5437
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80669
GA
Other
Enumeration date
06/01/2015
Last updated
08/22/2018
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