KEANG THAI, PA
Physician Assistant - Medical
Active
Individual
NPI: 1265507511
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 04179 (GA) |
Frequently Asked Questions
NPI 1265507511 is the National Provider Identifier for KEANG THAI, PA, a Physician Assistant - Medical provider located in Stockbridge, GA. This NPI was enumerated on November 22, 2006.
KEANG THAI, PA practices at 1133 EAGLES LANDING PKWY, Stockbridge, GA 30281.
Quick Facts
- NPI
- 1265507511
- Type
- Individual
- Enumerated
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
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