NGOC BAO PHAN

LILBURN, GA
NPI1215299086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  73360)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  UO 3014)
208M00000X Hospitalist
(Licence: GA  73360)
Enumeration Date2012-06-08
Last Update Date2022-03-15
Business Address
Dr. NGOC BAO PHAN D.O
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047-3407
Phone number: 678-369-9399
Mailing Address
Dr. NGOC BAO PHAN D.O
625 BEAVER RUIN RD NW STE E
LILBURN, GA 30047-3407
Phone number: 678-369-9399