SON BANG MAI

RIVERDALE, GA
NPI1174136071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN297370)
Enumeration Date2020-08-28
Last Update Date2020-09-27
Business Address
SON BANG MAI FNP
83 UPPER RIVERDALE RD SW STE 135
RIVERDALE, GA 30274-2631
Phone number: 770-907-7222
Mailing Address
SON BANG MAI FNP
83 UPPER RIVERDALE RD SW STE 135
RIVERDALE, GA 30274-2631
Phone number: 770-907-7222
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