Healthcare Provider Details

I. General information

NPI: 1780854109
Provider Name (Legal Business Name): HUIMING HON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5671 PEACHTREE DUNWOODY RD NE STE 600
ATLANTA GA
30342-5000
US

IV. Provider business mailing address

5671 PEACHTREE DUNWOODY RD NE STE 600
ATLANTA GA
30342-5000
US

V. Phone/Fax

Practice location:
  • Phone: 404-257-9000
  • Fax: 404-847-9792
Mailing address:
  • Phone: 404-257-9000
  • Fax: 404-847-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number63074
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number063074
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: