Provider Demographics
NPI:1326160540
Name:HSU, STEPHANIE H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:H
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4800 OLDE TOWNE PKWY
Mailing Address - Street 2:STE 430
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4357
Mailing Address - Country:US
Mailing Address - Phone:770-321-1001
Mailing Address - Fax:770-321-8290
Practice Address - Street 1:11685 ALPHARETTA HWY STE 150B
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4982
Practice Address - Country:US
Practice Address - Phone:770-619-3842
Practice Address - Fax:404-250-8099
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2021-02-26
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Provider Licenses
StateLicense IDTaxonomies
GA66162207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I203329Medicare PIN