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

Loc B Pham, MD

Individual provider Anesthesiology Physician · NPI 1548248685

Loc B Pham, MD is an Anesthesiology in Marietta, Georgia. Graduated from University of Tennessee, Hsc, College of Medicine in 1996, 30 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and works from 5 locations. Licensed in Georgia and Tennessee.

Years since qualifying
30
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA, TN
In the registry since
2006
Specialties on file
6
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

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)

  • 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
  • 745 Poplar Rd, Newnan, GA 30265-1618 — (770) 400-1000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 81133 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 33976 (TN)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 081133 (GA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 081133 (GA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 081133 (GA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 081133 (GA)

Record details

NPI number1548248685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address531 Roselane St Nw Ste 830, Marietta, GA 30060-6979

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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