Individual
TIN THANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4000
Mailing address
1010 BEACON PKWY E APT 1264, BIRMINGHAM, AL 35209-3206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4092
AL
207R00000X
Internal Medicine Physician
Primary
OS19425
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
01/22/2026
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