Individual
THAO P PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 SABLE GLEN CT, BUFORD, GA 30519-7663
(678) 936-6625
(470) 326-3999
Mailing address
2618 SABLE GLEN CT, BUFORD, GA 30519-7663
(678) 936-6625
(470) 326-3999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN304886
GA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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