# SURGICAL CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** somphong thitaram md
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649359753
- **Authorized official:** DR. SOMPHONG THITARAM MD (PRESIDENT)
- **Authorized official phone:** (770) 446-6655

## Contact information

- **Practice address:** 5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
- **Practice address phone:** (770) 446-6655
- **Practice address fax:** (770) 446-6659
- **Mailing address:** 5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
- **Mailing address phone:** (770) 446-6655
- **Mailing address fax:** (770) 446-6659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 15046 | GA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020