Individual
LILY LAN-NHU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2107 N DECATUR RD, SUITE 328, DECATUR, GA 30033-5305
(404) 981-1699
Mailing address
2107 N DECATUR RD, SUITE 328, DECATUR, GA 30033-5305
(404) 981-1699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224120291
—
GA
Enumeration date
05/07/2007
Last updated
05/08/2015
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