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1609539618
TAM THANH PHAM
ATLANTA, GA
NPI
1609539618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN253843)
Enumeration Date
2021-10-17
Last Update Date
2023-06-05
Business Address
Mr. TAM THANH PHAM PMHNP-BC
690 COURTENAY DR NE
ATLANTA, GA 30306-3421
Phone number: 404-875-4551
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Mailing Address
Mr. TAM THANH PHAM PMHNP-BC
125 DANUBE TR
STOCKBRIDGE, GA 30281
Phone number: 678-986-3580
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