Individual
THI LE NA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1276 GILBREATH DR, JOHNSON CITY, TN 37614-6503
(423) 439-6210
(423) 439-8060
Mailing address
PO BOX 70568, JOHNSON CITY, TN 37614-1707
(423) 439-6210
(423) 439-8060
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DR.0075458
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2021
Last updated
07/01/2025
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