Individual
HUY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8598
Mailing address
12513 BOYETTE RD, RIVERVIEW, FL 33569-5616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11690684-1205
UT
Other
Enumeration date
04/29/2014
Last updated
11/11/2021
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