Individual
MR. PHONG X DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2238
Mailing address
2468 BURNT LEAF LN, DECATUR, GA 30033
(404) 633-8095
(404) 329-2238
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12687
GA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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