Provider Demographics
NPI:1811732068
Name:HAN, JIHYE (PA)
Entity type:Individual
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First Name:JIHYE
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3850 WINDERMERE PKWY
Mailing Address - Street 2:STE 105
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:240-408-1210
Mailing Address - Fax:770-888-9998
Practice Address - Street 1:3850 WINDERMERE PKWY
Practice Address - Street 2:STE 105
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:678-455-2800
Practice Address - Fax:770-888-9998
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2025-10-03
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Provider Licenses
StateLicense IDTaxonomies
GA13257363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant