DR. Hung Thien Ly, M.D.

NPI #1639296569 in Pooler, Georgia

Provider Information

NPI Number: 1639296569
Entity Type: Individual
Name: DR. Hung Thien Ly, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Mar 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1393 US HIGHWAY 80 E
City: Pooler
State: Georgia
ZIP Code: 31322-8901
Phone: (912) 964-0108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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