Individual
LIEN BANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7042 MOON RD, COLUMBUS, GA 31909-4969
(706) 653-2923
Mailing address
71 HART PRESERVE DR, FORTSON, GA 31808-4973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031579
GA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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