Organization
SURGICAL CONSULTANTS PC
Active
Other names
somphong thitaram md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMPHONG THITARAM MD (PRESIDENT)
(770) 446-6655
Entity
Organization
Contact information
Practice address
5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
(770) 446-6655
(770) 446-6659
Mailing address
5555 BUFORD HWY, 501, NORCROSS, GA 30071-3957
(770) 446-6655
(770) 446-6659
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15046
GA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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