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Individual

THONG TA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4920 ROSWELL RD, ATLANTA, GA 30342-2686
(404) 843-3225
Mailing address
4920 ROSWELL RD, ATLANTA, GA 30342-2686
(404) 843-3225

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH035162
GA

Other

Enumeration date
10/21/2024
Last updated
10/21/2024
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