Organization
CLARKSTON FAMILY MEDICINE
Active
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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