Individual
EUNMI HUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4120 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-3133
(770) 935-9546
Mailing address
4120 FIVE FORKS TRICKUM RD SW STE 104, LILBURN, GA 30047-8975
(770) 935-9546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86583
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/30/2018
Last updated
08/20/2021
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