Individual
DR. HUNG THIEN LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1393 US HIGHWAY 80 E, POOLER, GA 31322-8901
(912) 964-0108
Mailing address
PO BOX 31096, SAVANNAH, GA 31410-8196
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GA047797
GA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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