Individual
TAMMY MAY LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
2185 WATERS FERRY DR, LAWRENCEVILLE, GA 30043-3175
(678) 900-0635
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8973
GA LICENSE
GA
Enumeration date
10/08/2018
Last updated
01/11/2024
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