Organization
QUALITY CHRONIC CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTHYMA PHENGPHANH MS (MEMBER)
(678) 751-1776
Entity
Organization
Contact information
Practice address
2241 DAWN CT, SUWANEE, GA 30024-2732
(678) 751-1776
(888) 220-6375
Mailing address
2241 DAWN CT, SUWANEE, GA 30024-2732
(678) 751-1776
(888) 220-6375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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