Individual
JUANJUAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5380
Mailing address
107 THORNCREST CT, TUCKER, GA 30084-8454
(678) 207-9489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN254451
GA
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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