Organization
WOUND INTEGRITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAN NGOC PHAM M.D. (CEO)
(214) 274-1507
Entity
Organization
Contact information
Practice address
2295 RONALD REAGAN PKWY, SNELLVILLE, GA 30078-5654
(770) 982-2331
(770) 972-4104
Mailing address
100 CRESCENT CT STE 700, DALLAS, TX 75201-2112
(512) 202-3830
(512) 354-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74705
GA
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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