Individual
KHANH THI KIEU DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2162 HENDERSON MILL RD NE, ATLANTA, GA 30345-3762
(770) 621-0227
(770) 621-0649
Mailing address
2162 HENDERSON MILL RD NE, ATLANTA, GA 30345-3762
(770) 621-0227
(770) 621-0649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028601
GA
Other
Enumeration date
08/26/2015
Last updated
01/18/2016
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