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NPI Code Detail

MEDICARE: GIANG T HA MD

MEDICARE: GIANG T HA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician202402035NC

General Provider Information

NPI Number : 1114513124
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANG T HA MD
Provider Business Mailing Address
First Line : 7869 VILLA RICA HWY
Second Line :
City : DALLAS
State : GA
Zip : 30157-8638
Country : US
Telephone Number : 770-459-8449
Fax Number :
Provider Business Practice Location Address
First Line : 7869 VILLA RICA HWY
Second Line :
City : DALLAS
State : GA
Zip : 30157-8638
Country : US
Telephone Number : 770-459-8449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 10/15/2025

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Directions to “ GIANG T HA MD” Practice Location

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