Individual
HAN NGOC DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6236 GRACELAND CIR, MORROW, GA 30260-1616
(770) 961-4344
Mailing address
6236 GRACELAND CIR, MORROW, GA 30260-1616
(770) 961-4344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN145895 NP
GA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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