DR. Diem Thuy Quynh Phan

NPI #1194014381 in Tyrone, Georgia

Provider Information

NPI Number: 1194014381
Entity Type: Individual
Name: DR. Diem Thuy Quynh Phan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 525 VALLEYWOOD RD
City: Tyrone
State: Georgia
ZIP Code: 30290-2449
Phone: (770) 487-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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