Individual
IMMANUEL HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
(678) 490-0080
(678) 490-0091
Mailing address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85753
GA
Other
Enumeration date
05/05/2017
Last updated
08/13/2020
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