Individual
TUAN MINH KHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6301 SOUTHLAND RDG, STONE MOUNTAIN, GA 30087
(678) 756-4541
Mailing address
6301 SOUTHLAND RDG, STONE MOUNTAIN, GA 30087-4996
(678) 694-8218
(678) 587-5374
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-356
GA
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
06/26/2018
Last updated
08/03/2024
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