Individual
TU OAI VU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
1840 ANGUS LEE DR, LAWRENCEVILLE, GA 30045-2764
(404) 931-1843
Mailing address
1840 ANGUS LEE DR, LAWRENCEVILLE, GA 30045-2764
(404) 931-1843
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
10/28/2015
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