Individual provider · Type 1 NPI

Somphong Thitaram, MD

General Practice Physician · Marietta, GA

NPI number 1063504074 Active

Practice location

2550 Windy Hill Rd SE, 106
Marietta, GA 30067-8665

Call (770) 955-4314 Map

Fax (770) 955-4315

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X15046 (GA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1063504074

Somphong Thitaram, MD's National Provider Identifier is 1063504074, issued on Sep 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 9, 2007.