Trieu, Connie
Trieu, Connie is an sole proprietor health care provider with primary practice located at 4905 Courtney Dr , Forest Park GA 30297-1427. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Trieu, Connie can be contacted via phone (404) 366-3636.Contact Information
Primary practice address
4905 Courtney Dr
Forest Park GA 30297-1427
Phone: (404) 366-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 96326 | Georgia |
Profile Details
| NPI number | 1952682346 |
|---|---|
| LBN Legal business name | Trieu, Connie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2011 |
| Last updated | Oct 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952682346 | NPPES |
| Georgia | MEDICAID | 003172166B |
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