Individual
DR. CONNIE TRIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
Mailing address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003172166B
—
GA
Enumeration date
08/30/2011
Last updated
10/10/2023
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