SearchGeorgia103K00000X

Devyn Phan

NPI 1659947406 · on the registry since 2021

Practice

Address
1750 Beaver Ruin Rd Ste 500
Norcross, GA 30093
Phone
(678) 759-9665
Clinicians at this address
12

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-13

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