person
Maxwell Su, MEDICALSTUDENT
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1457038762

Maxwell Su is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Maxwell Su practices in Atlanta, GA and has the professional credentials of MEDICALSTUDENT. The NPI Number for Maxwell Su is 1457038762 and holds a License No. (Georgia).

The current practice location address for Maxwell Su is 100 Woodruff Cir Ne Ste P375, Atlanta, GA and can be reached out via phone at 047-275-5655.

Location: 100 Woodruff Cir Ne Ste P375, Atlanta, GA, 30322-1020
person
Provider Profile Details
NPI Number
1457038762
Provider Name
Maxwell Su
Credential
MEDICALSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
100 Woodruff Cir Ne Ste P375, Atlanta, GA, 30322-1020
Phone Number
047-275-5655
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Woodruff Cir Ne Ste P375
City
State
Zip
30322-1020
Phone Number
047-275-5655
Fax Number
person
Provider Business Mailing Address Details
Address
100 Woodruff Cir Ne Ste P375
City
State
Zip
30322-1020
Phone Number
047-275-5655
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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