Provider Demographics
NPI:1306445747
Name:DO, HIEP HOANG (RPH)
Entity type:Individual
Prefix:
First Name:HIEP
Middle Name:HOANG
Last Name:DO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 BURNS ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3484
Mailing Address - Country:US
Mailing Address - Phone:678-788-3779
Mailing Address - Fax:
Practice Address - Street 1:801 BURNS ESTATES DR
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3484
Practice Address - Country:US
Practice Address - Phone:678-788-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0324271835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist