Oanh Xuan Dam in Forest Park - General Practice

Oanh Xuan Dam - NPI 1841499761

Oanh Xuan Dam is a General Practice in Forest Park, Georgia. Oanh Xuan Dam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Oanh Xuan Dam is 1841499761. The last update date is 2007-07-12.

Oanh Xuan Dam's current location address is 4487 Jonesboro Rd, Forest Park, Georgia. You can contact this provider via phone number 4043668822 and fax number 4043668824. The mailing address for Oanh Xuan Dam is 4487 Jonesboro Rd, Forest Park, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Oanh Xuan Dam
Address 4487 Jonesboro Rd, Forest Park, Georgia
Phone Number 4043668822
Fax Number 4043668824
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1841499761
Provider Enumeration Date 2007-07-11
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address 4487 Jonesboro Rd
City Forest Park
State Georgia (GA)
Post Code 302974316
Phone Number 4043668822
Fax Number 4043668824

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 40894
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000766884A GA GA BETTER HEALTHCARE
000766884A GA GA PEACHCARE FOR KIDS
58-246-4960 GA BEECH STREET NETWORK PPO
000766884A GA --
303256 GA WELLCARE HEALTH PLAN
1000556 GA AMERIGROUP
103001 GA PEACH STATE HEALTH PLAN

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FAQs about Oanh Xuan Dam

What is the Oanh Xuan Dam's 1841499761?

The Oanh Xuan Dam's NPI (National Provider Identifier) Number is 1841499761. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Oanh Xuan Dam is located?

The Oanh Xuan Dam is situated at the following address: 4487 Jonesboro Rd, Forest Park, GA, 302974316.

What is Oanh Xuan Dam's specialized field of practice, and what is the corresponding taxonomy classification code?

The Oanh Xuan Dam's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841499761 to Oanh Xuan Dam?

The Centers for Medicare & Medicaid Services assigned the 1841499761 to Oanh Xuan Dam on 2007-07-11.

When was the information related to Oanh Xuan Dam most recently updated or refreshed?

The details pertaining to the Oanh Xuan Dam, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-12.

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