Provider Demographics
NPI:1467275396
Name:VO, CINDY THANH-THANH PHAM
Entity type:Individual
Prefix:
First Name:CINDY THANH-THANH
Middle Name:PHAM
Last Name:VO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5022 ASH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-2332
Mailing Address - Country:US
Mailing Address - Phone:404-769-4337
Mailing Address - Fax:
Practice Address - Street 1:5022 ASH ST
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2332
Practice Address - Country:US
Practice Address - Phone:404-769-4337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant