Organization
DULUTH FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIEM CHI NGO MD (OWNER)
(770) 858-5983
Entity
Organization
Contact information
Practice address
4470 SATELLITE BLVD, SUITE 204, DULUTH, GA 30096-8851
(770) 858-5983
(770) 858-5066
Mailing address
4470 SATELLITE BLVD, SUITE 204, DULUTH, GA 30096-8851
(770) 858-5983
(770) 858-5066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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