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Individual

THIEN-KIM PHAN LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
740 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1118
(404) 251-1740
(404) 332-3384
Mailing address
740 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1118
(404) 251-1740
(404) 332-3384

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77286
GA

Other

Enumeration date
03/25/2014
Last updated
07/21/2022
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