Dr. Emmeleen F Phan, MD
Pediatrics in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1790741593
StatusActive
Last updated in NPPESDec 30, 2014
Details
- NPI
- 1790741593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emmeleen F Phan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2006
- Last updated
- Dec 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 054423 | GA | Yes |
Practice location
1000 Medical Center BlvdLawrenceville, GA 30046-7694
Phone 678-312-3317 · Fax 678-312-4416
Mailing address
1000 Medical Center BlvdLawrenceville, GA 30046-7694
Phone 678-312-3317 · Fax 678-312-4416
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