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1699177808
PHAT LUONG
ATLANTA, GA
NPI
1699177808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 007318)
Enumeration Date
2014-09-18
Last Update Date
2014-09-18
Business Address
-- PHAT LUONG PAAA
1000 JOHNSON FERRY RD
ATLANTA, GA 30342-1606
Phone number: 770-645-9181
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Mailing Address
-- PHAT LUONG PAAA
3155 N POINT PKWY STE F100
ALPHARETTA, GA 30005-5495
Phone number: 770-645-9181
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