Mai Anh Phung
NPI #1275956047 in Fort Benning, Georgia
Provider Information
- NPI Number
- 1275956047
- Entity Type
- Individual
- Name
- Mai Anh Phung
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 29, 2014
- Last Updated
- Feb 12, 2014
Practice Location
- Address
- 7950 MARTIN LOOP
- City
- Fort Benning
- State
- Georgia
- ZIP Code
- 31905-5648
- Phone
- (706) 544-2041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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