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Individual

DR. PHU B THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, GWINNETT MEDICAL CENTER DEPARTMENT OF INTERNAL MEDICINE, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 949-5019
(404) 364-4985

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00026954
AL
207R00000X
Internal Medicine Physician
Primary
059519
GA

Other

Enumeration date
08/18/2006
Last updated
02/09/2022
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