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Diem Phan
NPI 1194014381 · on the registry since 2011
Practice
- Address
- 525 Valleywood Rd
Tyrone, GA 30290 - Phone
- (770) 487-4226
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia