Individual
THUY PHUNG CHANH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
400 E FORK SHADY DR NW, LILBURN, GA 30047-8028
(404) 952-0689
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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