Organization
PHAM GENERAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYNHANH HOANG THI PHAM M.D. (PRESIDENT)
(216) 832-8071
Entity
Organization
Contact information
Practice address
144 W CHERRY ST, JESUP, GA 31545-1309
(216) 832-8071
Mailing address
PO BOX 1469, JESUP, GA 31598-6469
(216) 832-8071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66884
GA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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