Thitaram, Somphong

Thitaram, Somphong is an individual health care provider with primary practice located at 2550 Windy Hill Rd Se 106, Marietta GA 30067-8665. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Thitaram, Somphong can be contacted via phone (770) 955-4314.

Contact Information

Primary practice address
2550 Windy Hill Rd Se 106 Marietta GA 30067-8665
Phone: (770) 955-4314
Fax: (770) 955-4315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15046 Georgia

Profile Details

NPI number 1063504074
LBN Legal business name Thitaram, Somphong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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