person
Dr. Somphong Thitaram, MD
General Practice Physician in Marietta, Georgia
NPI 1063504074

Somphong Thitaram is a General Practice Physician based in Marietta, GA. Somphong Thitaram practices in Marietta, GA and has the professional credentials of MD. The NPI Number for Somphong Thitaram is 1063504074 and holds a License No. 15046 (Georgia).

The current practice location address for Somphong Thitaram is 2550 Windy Hill Rd Se, Marietta, GA and can be reached out via phone at 770-955-4314 and via fax at 770-955-4315.

Location: 2550 Windy Hill Rd Se, Marietta, GA, 30067-8665
person
Provider Profile Details
NPI Number
1063504074
Provider Name
Somphong Thitaram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2550 Windy Hill Rd Se, Marietta, GA, 30067-8665
Phone Number
770-955-4314
Fax Number
770-955-4315
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2550 Windy Hill Rd Se
City
State
Zip
30067-8665
Phone Number
770-955-4314
Fax Number
770-955-4315
person
Provider Business Mailing Address Details
Address
2550 Windy Hill Rd Se
City
State
Zip
30067-8665
Phone Number
770-955-4314
Fax Number
770-955-4315
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
15046 (Georgia)
Definition
Definition to come...
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