Individual
FAUSTINE LUU DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1515 RIVER PL STE 200, BRASELTON, GA 30517-5603
(770) 848-6140
(770) 848-6141
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
077724
GA
207R00000X
Internal Medicine Physician
LL36700
SC
Other
Enumeration date
06/11/2014
Last updated
01/29/2021
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