Individual
DR. CHUC V PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-6000
Mailing address
1770 MAYNARDS MILL RD, FORSYTH, GA 31029
(478) 335-7284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00466947B
—
GA
Enumeration date
11/21/2006
Last updated
07/21/2022
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