Individual
JOANNA KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
(215) 662-4613
Mailing address
613 PONDER PLACE DR, EVANS, GA 30809-3187
(706) 364-3223
(706) 364-4918
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD469574
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
89046
GA
Other
Enumeration date
03/27/2015
Last updated
07/23/2021
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