Phung Kim Phan
NPI #1174110852 in Grovetown, Georgia
Provider Information
- NPI Number
- 1174110852
- Entity Type
- Individual
- Name
- Phung Kim Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 29, 2020
- Last Updated
- Nov 7, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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