Individual
DR. NICOLAS THONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Mailing address
115 LEE BYRD RD, LOGANVILLE, GA 30052-2310
(770) 554-4717
(770) 554-4681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
97811
GA
Other
Enumeration date
08/24/2020
Last updated
12/18/2023
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