License holder summary

PHAN, THAI TIEN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PHAN, THAI TIEN, MD is 1321 ASHLEYBROOK LANE, WINSTN-SALEM 27103. This doctor license is current. The license was granted 07/13/2007 and expired on 04/30/2017.

Georgia

Composite Medical Board

PHAN, THAI TIEN, MD
Medical - Physician
License number
059851
Date granted
07/13/2007
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
1321 ASHLEYBROOK LANE
georgiadoctors.net
ID 38072726
LAST UPDATED 2021-06-02 22:09:53 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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