Individual
MIJUNG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(770) 962-0399
Mailing address
1678 FLOWERY BRANCH RD, AUBURN, GA 30011-2124
(404) 518-1004
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN204653
GA
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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