Individual
THAO NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3286 NORTHSIDE PKWY NW STE 1000, ATLANTA, GA 30327-2294
(404) 841-8450
Mailing address
3286 NORTHSIDE PKWY NW STE 1000, ATLANTA, GA 30327-2294
(404) 841-8450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13263
GA
Other
Enumeration date
05/29/2025
Last updated
07/28/2025
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