Somphong Thitaram in Marietta - General Practice
Somphong Thitaram - NPI 1063504074
Somphong Thitaram is a General Practice in Marietta, Georgia. Somphong Thitaram practices all healthcare services and medical treatments related to General Practice. The NPI Number for Somphong Thitaram is 1063504074. The last update date is 2007-07-09.
Somphong Thitaram's current location address is 2550 Windy Hill Rd Se, Marietta, Georgia. You can contact this provider via phone number 7709554314 and fax number 7709554315. The mailing address for Somphong Thitaram is 2550 Windy Hill Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Somphong Thitaram |
|---|---|
| Address | 2550 Windy Hill Rd Se, Marietta, Georgia |
| Phone Number | 7709554314 |
| Fax Number | 7709554315 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063504074 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2550 Windy Hill Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300678665 |
| Phone Number | 7709554314 |
| Fax Number | 7709554315 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 15046 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identification code assigned to Somphong Thitaram by the Centers for Medicare & Medicaid Services?
The Somphong Thitaram has been issued the NPI (National Provider Identifier) 1063504074. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Somphong Thitaram is located?
The Somphong Thitaram is situated at the following address: 2550 Windy Hill Rd Se, Marietta, GA, 300678665.
What is Somphong Thitaram's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Somphong Thitaram is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063504074 to Somphong Thitaram?
The Centers for Medicare & Medicaid Services assigned the 1063504074 to Somphong Thitaram on 2006-09-28.
As of what date were the details pertaining to Somphong Thitaram last refreshed?
The information related to the Somphong Thitaram, including its address, specialty, and other relevant details, was last updated on 2007-07-09.