Provider Demographics
NPI:1477182814
Name:YOON, DONNA (DO)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:YOON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 SATELLITE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4005
Mailing Address - Country:US
Mailing Address - Phone:404-778-5220
Mailing Address - Fax:
Practice Address - Street 1:1845 SATELLITE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4005
Practice Address - Country:US
Practice Address - Phone:404-778-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12092207Q00000X
GA96516207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine