Individual
HIEN PHAM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4215
(404) 892-9229
Mailing address
1001 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4215
(404) 892-9229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033135
GA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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