| Lily Pham | |
|
2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 | |
| (404) 981-1699 | |
| Not Available |
| Full Name | Lily Pham |
|---|---|
| Speciality | Internal Medicine |
| Location | 2107 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Lily Pham (PRESIDENT) |
| Authorized Official Contact | 4049811699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Pham 2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 Ph: () - | Lily Pham 2107 N Decatur Rd Suite 328 Decatur GA 30033-5305 Ph: (404) 981-1699 |
| NPI Number | 1770882797 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770882797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 062592 (Georgia) | Primary |
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