SOMPHONG THITARAM

MARIETTA, GA
NPI1063504074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: GA  15046)
Enumeration Date2006-09-28
Last Update Date2007-07-09
Business Address
Dr. SOMPHONG THITARAM MD
2550 WINDY HILL RD SE 106
MARIETTA, GA 30067-8665
Phone number: 770-955-4314
Mailing Address
Dr. SOMPHONG THITARAM MD
2550 WINDY HILL RD SE 106
MARIETTA, GA 30067-8665
Phone number: 770-955-4314