Individual
PHONG CHAU TRUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
696 BREEDLOVE DR STE A, MONROE, GA 30655-2052
(770) 207-5677
Mailing address
696 BREEDLOVE DR STE A, MONROE, GA 30655-2052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9356
GA
Other
Enumeration date
08/27/2019
Last updated
02/28/2025
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