Individual
DR. EMMELEEN F PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3317
(678) 312-4416
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3317
(678) 312-4416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054423
GA
Other
Enumeration date
04/21/2006
Last updated
12/30/2014
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