Organization
LILY PHAM
Active
Organization
LILY PHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY PHAM MD (PRESIDENT)
(404) 981-1699
Entity
Organization
Contact information
Practice address
2107 N DECATUR RD, SUITE 328, DECATUR, GA 30033-5305
(404) 981-1699
Mailing address
2107 N DECATUR RD, SUITE 328, DECATUR, GA 30033-5305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062592
GA
Other
Enumeration date
03/16/2011
Last updated
03/28/2011
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