Individual
JOANNE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
764 MEMORIAL DR SE STE 106, ATLANTA, GA 30316-1573
(770) 783-1414
Mailing address
764 MEMORIAL DR SE STE 106, ATLANTA, GA 30316-1573
(770) 783-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93269
GA
Other
Enumeration date
03/21/2019
Last updated
08/24/2023
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