Provider Demographics
NPI:1205198553
Name:HU, YUAN (NP)
Entity Type:Individual
Prefix:
First Name:YUAN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 COLLIER ROAD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:623-703-9641
Mailing Address - Fax:
Practice Address - Street 1:1700 TREE LANE
Practice Address - Street 2:SUITE 190
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078
Practice Address - Country:US
Practice Address - Phone:404-805-9991
Practice Address - Fax:404-603-2623
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN206671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily