Most Relevant Information
Provider Data
| NPI Number: | 1003808312 |
| Provider Name: | TRUC THANH PHAM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 049706 |
Most Important Dates
| Enumeration Date: | 08/22/2005 |
| Last Updated: | 05/16/2008 |
Provider Practice Location
3985 STEVE REYNOLDS BLVD
SUITE K 102
NORCROSS
GA
300933035
Practice Location Phone/Fax
| Phone: | 6783670390 |
| Fax: | 6782453391 |
Provider Mailing Location
3985 STEVE REYNOLDS BLVD
SUITE K 102
NORCROSS
GA
300933035
Provider Mailing Phone/Fax
| Phone: | 6783670390 |
| Fax: | 6782453391 |
Suggested EMR
Family Practice EMR