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Organization
SURGICAL CONSULTANTS PC
Active
Organization
SURGICAL CONSULTANTS PC
Active
Other names
somphong thitaram md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMPHONG THITARAM MD (PRESIDENT)
(770) 446-6655
Entity
Organization
Contact information
Practice address
5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
(770) 446-6655
(770) 446-6659
Mailing address
5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
(770) 446-6655
(770) 446-6659
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15046
GA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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