Individual
BAO NGOC THI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1320 CANDLER CT, MORROW, GA 30260-3303
(404) 512-9180
Mailing address
1320 CANDLER CT, MORROW, GA 30260-3303
(404) 512-9180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F07202164
GA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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