Individual
DR. AGNES HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 515, ATLANTA, GA 30342-1631
(404) 252-7703
(404) 252-8863
Mailing address
960 JOHNSON FERRY RD NE, SUITE 515, ATLANTA, GA 30342-1631
(404) 252-7703
(404) 252-8863
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
043953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00759349E
—
GA
Enumeration date
03/10/2006
Last updated
03/29/2012
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