| NPI | 1649359753 |
|---|---|
| Other Name | SOMPHONG THITARAM MD |
| Entity Type | Organization |
| Authorized Contact | SOMPHONG THITARAM President 770-446-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 15046) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |