Healthcare Provider Details

I. General information

NPI: 1386105575
Provider Name (Legal Business Name): DAVID HAIWEI GE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 CHASTAIN RD NW
KENNESAW GA
30144-3012
US

IV. Provider business mailing address

270 CHASTAIN RD NW
KENNESAW GA
30144-3012
US

V. Phone/Fax

Practice location:
  • Phone: 770-421-8005
  • Fax: 770-424-5662
Mailing address:
  • Phone: 770-421-8005
  • Fax: 770-424-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number99978
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number99978
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number99978
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: