Individual provider · Type 1 NPI
Hung Thien Ly, MD
General Practice Physician · Pooler, GA
NPI number
1639296569
Active
Practice location
1393 US Highway 80 E
Pooler, GA 31322-8901
Mailing address
PO Box 31096
Savannah, GA 31410-8196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | GA047797 (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.
About NPI 1639296569
Hung Thien Ly, MD's National Provider Identifier is 1639296569, issued on Mar 24, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pooler, GA. The record was last updated on Jul 8, 2007.