Individual
DR. KHANH TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2645
(678) 377-5258
Mailing address
651 TOWER HILL CT, LAWRENCEVILLE, GA 30046-2882
(404) 271-8543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027970
GA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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