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Immanuel Hsu, D.O.

Family Medicine in McDonough, GA. Individual provider (NPI-1).

NPI number1669908992
StatusActive
Last updated in NPPESAug 13, 2020

Details

NPI
1669908992
Entity type
Individual (NPI-1)
Name
Immanuel Hsu
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
May 5, 2017
Certification date
Aug 13, 2020
Last updated
Aug 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine85753GAYes

Practice location

65 Old Jackson Rd
McDonough, GA 30252-3095

Phone 678-490-0080 · Fax 678-490-0091

Mailing address

65 Old Jackson Rd
McDonough, GA 30252-3095

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