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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEANG THAI, PA

Active

KEANG THAI, PA is a Medical Physician Assistant healthcare provider located in STOCKBRIDGE, Georgia. NPI 1265507511 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · STOCKBRIDGE, GA

Registration Details

NPI Number
1265507511
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2006 (19.69456554549 yrs)
Last Updated
Jul 8, 2007
License
04179 (GA)

Practice Information

Address
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA, 302815085
Browse GA providers · Browse ZIP 30281
Phone
7709949326
Fax
7709944747
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in STOCKBRIDGE, GA

Name Credential NPI
MRS. TONYA MICHELLE OGLETREE P.A.C. 1477540946
TRACEY A BARNHART PA 1164440723
CHARLA V JOHNSON PA-C 1033218581
VIMLA R MAIKI PA 1447464243
RICHARD WAYNE BARTH PA 1851579213
VANESSA MARCY WINOKUR PA-C 1609107457
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.