DAT PHAT VU

ATHENS, GA
NPI1386023158
Other NamePHAT VU
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: GA  11638)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-26
Last Update Date2022-05-23
Business Address
DAT PHAT VU MD
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-227-3450
Mailing Address
DAT PHAT VU MD
1230 BAXTER ST
ATHENS, GA 30606-3712
Phone number: 706-227-3450