Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SOMPHONG THITARAM, MD
ActiveDR. SOMPHONG THITARAM, MD is a General Practice healthcare provider located in MARIETTA, Georgia. NPI 1063504074 is currently active in the NPPES registry. Verify at CMS.
General Practice · MARIETTA, GA
Registration Details
- NPI Number
- 1063504074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.899210442232 yrs)
- Last Updated
- Jul 9, 2007
- License
-
15046 (GA)
Practice Information
- Address
-
2550 WINDY HILL RD SE106MARIETTA, GA, 300678665Browse GA providers · Browse ZIP 30067
- Phone
- 7709554314
- Fax
- 7709554315
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES R GRANGER III | MD | 1073714580 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.