Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 60273 | GA |
N | 2081P2900X | Pain Medicine | 60273 | GA |
NPI | 1295939452 |
---|---|
Provider Name | Dr. Jian Hu |
First Address | Athens, GA 30606-2887 |
Second Address | Athens, GA 30606-2837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12274814 | CAQH NUMBER (01) |