Individual provider · Type 1 NPI

Keang Thai, PA

Medical Physician Assistant · Stockbridge, GA

NPI number 1265507511 Active

Practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Call (770) 994-9326 Map

Fax (770) 994-4747

Mailing address

235 Peachtree St NE, North Tower, Suite 2100
Atlanta, GA 30303-1401

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X04179 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1265507511

Keang Thai, PA's National Provider Identifier is 1265507511, issued on Nov 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stockbridge, GA. The record was last updated on Jul 8, 2007.