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Contact Information

OANH X DAM, MD
4487 JONESBORO RD
FOREST PARK, GA30297-4316
 Phone: 404-366-8822
 Fax: 404-366-8824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for OANH X DAM · (Male)

NPI Number 1841499761
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2007
Last updated 07/12/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 040894
  • GA Medicaid 000766884A
  • GA Other 01000556 AMERIGROUP
  • GA Other 58-246-4960 BEECH STREET NETWORK PPO
  • GA Other 000766884A GA BETTER HEALTHCARE
  • GA Other 000766884A GA PEACHCARE FOR KIDS
  • GA Other 103001 PEACH STATE HEALTH PLAN
  • GA Other 303256 WELLCARE HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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