LAM TRONG PHAN

MARIETTA, GA
NPI1538114582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  002176)
Enumeration Date2006-05-24
Last Update Date2019-08-28
Business Address
LAM TRONG PHAN PA
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-794-0477
Mailing Address
LAM TRONG PHAN PA
3120 SWALLOW DR NE
MARIETTA, GA 30066-3001
Phone number:
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