PHAT LUONG

ATLANTA, GA
NPI1699177808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  007318)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
-- PHAT LUONG PAAA
1000 JOHNSON FERRY RD
ATLANTA, GA 30342-1606
Phone number: 770-645-9181
Mailing Address
-- PHAT LUONG PAAA
3155 N POINT PKWY STE F100
ALPHARETTA, GA 30005-5495
Phone number: 770-645-9181