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
Mailing address3120 Swallow Dr Ne, Marietta, GA 30066-3001

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