Organization
CLARKSTON FAMILY MEDICINE
Active
Other names
Clarkston Family medical center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINBH THO HUYNH M.D. (SOLE PROPRIETOR)
(404) 299-7534
Entity
Organization
Contact information
Practice address
3603 W HILL ST, CLARKSTON, GA 30021-1207
(404) 299-7534
(404) 299-0608
Mailing address
3603 W HILL ST, CLARKSTON, GA 30021-1207
(404) 299-7534
(404) 299-0608
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
019886
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085000391G
—
GA
Enumeration date
08/19/2011
Last updated
08/19/2011
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