Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 70258 | GA |
NPI | 1811160609 |
---|---|
Provider Name | Hong Li |
First Address | Decatur, GA 30033-5307 |
Second Address | Decatur, GA 30033-5307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 13/08/2013 |