Provider Demographics
NPI:1962608448
Name:YU, GIE NA (MD)
Entity type:Individual
Prefix:
First Name:GIE
Middle Name:NA
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5667 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1725
Mailing Address - Country:US
Mailing Address - Phone:404-252-5669
Mailing Address - Fax:404-252-9473
Practice Address - Street 1:5667 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 330
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1725
Practice Address - Country:US
Practice Address - Phone:404-252-5669
Practice Address - Fax:404-252-9473
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2020-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA69464208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003133702AMedicaid
GA003133702BMedicaid
GA003133702BMedicaid
GA202I286851Medicare PIN