Individual
THANH KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 BRANCH DR, TUCKER, GA 30084-1277
(678) 557-0415
Mailing address
1346 BRANCH DR, TUCKER, GA 30084-1277
(678) 557-0415
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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