Individual
KIM-DUNG THI PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 DAWSON RD, ALBANY, GA 31707-2435
(229) 888-6166
Mailing address
2351 DAWSON RD, ALBANY, GA 31707-2435
(229) 888-6166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032288
GA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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