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Individual

TAM HOANG TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PAC, MSPAS

Contact information

Practice address
545 OLD NORCROSS RD, SUITE 300-B, LAWRENCEVILLE, GA 30046-3389
(678) 666-4088
(678) 666-4033
Mailing address
560 SUMMERSTONE LN, LAWRENCEVILLE, GA 30044-5495

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006554
GA

Other

Enumeration date
08/01/2012
Last updated
04/17/2017
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