Individual
MR. HUU PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6300 HOSPITAL PKWY STE 400, JOHNS CREEK, GA 30097-1983
(678) 205-4261
(678) 417-7187
Mailing address
3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2296
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10955
GA
Other
Enumeration date
02/09/2021
Last updated
01/09/2026
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