DANIEL DUONG PHAN

AUGUSTA, GA
NPI1538622873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  10822)
Enumeration Date2019-04-12
Last Update Date2019-04-12
Business Address
DANIEL DUONG PHAN
1459 LANEY WALKER BLVC AE-3042
AUGUSTA, GA 30912-0001
Phone number: 706-721-6715
Mailing Address
DANIEL DUONG PHAN
217 MAPMAKER LN
SAVANNAH, GA 31410-2007
Phone number: 912-224-7055