KEANG THAI

STOCKBRIDGE, GA
NPI1265507511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  04179)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
-- KEANG THAI PA
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5085
Phone number: 770-994-9326
Mailing Address
-- KEANG THAI PA
235 PEACHTREE ST NE NORTH TOWER, SUITE 2100
ATLANTA, GA 30303-1401
Phone number: 770-994-9326
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