Search › Georgia › 171100000X
Fan Xu
NPI 1770082323 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6021 New Peachtree Rd
Doraville, GA 30340 - Phone
- (770) 455-8851
- Fax
- (770) 755-5582
- Organisation at this address
- Shallowford Herbals,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Sex
- Male
- Record last updated
- 2018-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia