Individual
MS. THAO HIEU PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3985 STEVE REYNOLDS BLVD STE K102, NORCROSS, GA 30093-3099
(678) 367-0390
(678) 245-3391
Mailing address
2283 CHRISTIAN CIR SE, CONYERS, GA 30013-5207
(404) 422-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9423
GA
Other
Enumeration date
09/03/2019
Last updated
06/04/2025
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