Individual
DR. OANH XUAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Mailing address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
040894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000766884A
GA BETTER HEALTHCARE
GA
05
—
000766884A
—
GA
01
—
01000556
AMERIGROUP
GA
01
—
103001
PEACH STATE HEALTH PLAN
GA
01
—
303256
WELLCARE HEALTH PLAN
GA
01
—
58-246-4960
BEECH STREET NETWORK PPO
GA
Enumeration date
07/11/2007
Last updated
07/12/2007
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