TAM THANH PHAM

ATLANTA, GA
NPI1609539618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN253843)
Enumeration Date2021-10-17
Last Update Date2023-06-05
Business Address
Mr. TAM THANH PHAM PMHNP-BC
690 COURTENAY DR NE
ATLANTA, GA 30306-3421
Phone number: 404-875-4551
Mailing Address
Mr. TAM THANH PHAM PMHNP-BC
125 DANUBE TR
STOCKBRIDGE, GA 30281
Phone number: 678-986-3580