Individual
CUONG T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-A
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
007941
GA
Other
Enumeration date
04/04/2016
Last updated
10/01/2018
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