Individual
JOHN N. VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 VININGS DR, MCDONOUGH, GA 30253-5994
(770) 302-6780
(678) 782-3776
Mailing address
290 COUNTRY CLUB DR, SUITE 220, STOCKBRIDGE, GA 30281-9069
(770) 302-6780
(678) 782-3776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699509H
—
GA
01
—
272299248
TAX ID
GA
01
—
582395078
TAX IDENTIFICATION NUMBER
GA
Enumeration date
09/17/2006
Last updated
06/23/2016
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