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Individual

HONG HUONG THI PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1710 LAKE LUCERNE RD SW, LILBURN, GA 30047-4534
(404) 200-8805
Mailing address
4500 SATELLITE BLVD STE 2400, DULUTH, GA 30096-5047
(404) 200-8805

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
02/13/2018
Last updated
02/13/2018
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