Individual
PAK LIK PATRICK YUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(404) 723-1199
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
100032
GA
208D00000X
General Practice Physician
25MA11555200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
12/20/2024
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