Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 078253 | GA |
NPI | 1013353317 |
---|---|
Provider Name | Howa Yeung |
First Address | Atlanta, GA 30322-4200 |
Second Address | Atlanta, GA 30322-4200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 09/06/2017 |