Individual
THINH BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-AA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1000
Mailing address
119 SURGE STONE LN, STOCKBRIDGE, GA 30281-4311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12168
GA
367H00000X
Anesthesiologist Assistant
Primary
12168
GA
Other
Enumeration date
09/13/2023
Last updated
04/08/2024
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