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Individual

MR. TAM THANH PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1200 ALTMORE AVE STE 200, ATLANTA, GA 30342-2495
(678) 426-2930
(404) 256-2795
Mailing address
1200 ALTMORE AVE STE 200, ATLANTA, GA 30342-2495
(678) 426-2930
(404) 256-2795

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN253843
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP253843
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN253843
GA

Other

Enumeration date
10/17/2021
Last updated
01/14/2026
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