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Individual

THANHTAM THI LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2000 PROFESSIONAL WAY STE 200, WOODSTOCK, GA 30188-4093
(770) 517-0250
Mailing address
2000 PROFESSIONAL WAY STE 200, WOODSTOCK, GA 30188-4093
(770) 517-0250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
074941
GA

Other

Enumeration date
07/23/2012
Last updated
01/01/2018
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