Provider Demographics
NPI:1609253574
Name:DOAN, HIEN THI (MD)
Entity Type:Individual
Prefix:
First Name:HIEN
Middle Name:THI
Last Name:DOAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MARIETTA OB-GYN AFFILIATES
Mailing Address - Street 2:699 CHURCH STREET, SUITE 220
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060
Mailing Address - Country:US
Mailing Address - Phone:770-422-8505
Mailing Address - Fax:770-635-9974
Practice Address - Street 1:MARIETTA OB-GYN AFFILIATES
Practice Address - Street 2:699 CHURCH STREET, SUITE 220
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:770-422-8505
Practice Address - Fax:770-635-9974
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA82635207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology