Individual
DR. NGAN MAI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 TECHNOLOGY PKWY, NORCROSS, GA 30092-2913
(800) 780-3500
(770) 246-0882
Mailing address
6080 LAKEVIEW RD, APT.1801, WARNER ROBINS, GA 31088-8593
(713) 301-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58382
GA
207L00000X
Anesthesiology Physician
A 90339
CA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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