Individual
DR. QUYNHANH H PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
144 W CHERRY ST, JESUP, GA 31545-1309
(912) 559-6929
(912) 559-6987
Mailing address
PO BOX 1469, JESUP, GA 31598-6469
(912) 559-6929
(912) 559-6987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149194B
—
GA
Enumeration date
06/29/2006
Last updated
03/07/2023
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