Individual
CYNTHIA THAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144-6860
(770) 499-1018
(770) 499-1018
Mailing address
740 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144-6860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH27164
MA
183500000X
Pharmacist
RPH024936
GA
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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