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NPI Code Detail

MEDICARE: HOANGTRAN DANG

MEDICARE: HOANGTRAN DANG
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
1183500000XPharmacistRPH028839GA

General Provider Information

NPI Number : 1881062925
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOANGTRAN DANG
Provider Business Mailing Address
First Line : 2429 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-1713
Country : US
Telephone Number : 404-691-3344
Fax Number :
Provider Business Practice Location Address
First Line : 2429 MARTIN LUTHER KING JR DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-1713
Country : US
Telephone Number : 404-691-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2015
Last Update Date : 09/06/2015

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Directions to “ HOANGTRAN DANG ” Practice Location

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