Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lam Trong Phan, PA

Individual provider Physician Assistant · NPI 1538114582

Lam Trong Phan, PA is a Physician Assistant in Marietta, Georgia. Works from 5 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 303 Parkway Dr Ne, Atlanta, GA 30312-1212 — (865) 985-7253
  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (770) 794-0477

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002176 (GA)

Record details

NPI number1538114582
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESAugust 28, 2019

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