Search › Georgia › 122300000X
Kevin Phan, DDS
NPI 1740012202 · on the registry since 2024
Practice
- Address
- 2855 Lawrenceville Suwanee Rd Ste 360
Suwanee, GA 30024 - Phone
- (678) 482-2197
- Organisation at this address
- Jutis Clinics
Optimum Health Spinal Rehabilitation
Crossroads Treatment Center At Sugarloaf, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 3330 Piedmont Rd Ne Ste 13, Atlanta, GA
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-13
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