Individual
QUYEN NGOC LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
458 HEMLOCK ST STE 100B, MACON, GA 31201-4200
(478) 741-5945
(478) 743-5890
Mailing address
458 HEMLOCK ST STE 100B, MACON, GA 31201-4200
(478) 741-5945
(478) 743-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
025216
GA
207RI0200X
Infectious Disease Physician
Primary
025216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000307447B
—
GA
Enumeration date
12/21/2005
Last updated
08/05/2025
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