Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 68998 | GA |
N | 2081P2900X | Pain Medicine | 068998 | GA |
NPI | 1326392648 |
---|---|
Provider Name | Dr. An Duy Do |
First Address | Lawrenceville, GA 30046-8768 |
Second Address | Lawrenceville, GA 30046-8768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2012 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003137500A | (05) | GA |
003137500B | (05) | GA |
003137500C | (05) | GA |
003137500D | (05) | GA |
003137500F | (05) | GA |
003137500G | (05) | GA |