Provider Demographics
NPI:1548355274
Name:OU, DAVE WEI-HUIE (MD)
Entity type:Individual
Prefix:MR
First Name:DAVE
Middle Name:WEI-HUIE
Last Name:OU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2200 CENTURY PKWY NE STE 120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3103
Mailing Address - Country:US
Mailing Address - Phone:404-418-6010
Mailing Address - Fax:404-418-6011
Practice Address - Street 1:2200 CENTURY PKWY NE STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3103
Practice Address - Country:US
Practice Address - Phone:404-418-6010
Practice Address - Fax:404-418-6011
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA044299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00845072AMedicaid
GA00845072AMedicaid
H05178Medicare UPIN