Individual
CHRISTIAN PHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
(770) 478-2908
Mailing address
3353 WEMBLEY WALK, TUCKER, GA 30084-2232
(770) 493-9252
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003450
GA
Other
Enumeration date
02/13/2006
Last updated
07/09/2007
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