Individual
FANG HELEN YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1240 HIGHWAY 54 W, BUILDING 300, SUITE 310, FAYETTEVILLE, GA 30214-4557
(770) 461-6400
(770) 460-2941
Mailing address
114 TOWNPARK DR NW, SUITE 240, KENNESAW, GA 30144-3715
(770) 952-8612
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN188712
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140290C
—
GA
01
—
20250I1934
MEDICARE
GA
Enumeration date
08/13/2013
Last updated
06/03/2015
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