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

Dr. Somphong Thitaram, MD

Individual provider General Practice Physician · NPI 1063504074

Dr. Somphong Thitaram, MD is a General Practice Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2550 Windy Hill Rd SE 106
Marietta, GA 30067-8665
Phone: (770) 955-4314
Fax: (770) 955-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 15046 (GA)

Record details

NPI number1063504074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 9, 2007
Mailing address2550 Windy Hill Rd Se, 106, Marietta, GA 30067-8665

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