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1063147650
NATALIE PHUONG PHAM
DOUGLASVILLE, GA
NPI
1063147650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN265554)
Enumeration Date
2022-07-19
Last Update Date
2024-04-15
Business Address
NATALIE PHUONG PHAM AGACNP-BC
4645 TIMBER RIDGE DR STE 120
DOUGLASVILLE, GA 30135-7542
Phone number: 770-942-2478
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Mailing Address
NATALIE PHUONG PHAM AGACNP-BC
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040
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