Provider Demographics
NPI:1235451733
Name:LE, BINH THANH (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:BINH
Middle Name:THANH
Last Name:LE
Suffix:
Gender:M
Credentials:PHD, LAC
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Mailing Address - Street 1:2855 LAWRENCEVILLE SUWANEE RD
Mailing Address - Street 2:SUITE 760-111
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3563
Mailing Address - Country:US
Mailing Address - Phone:770-263-9770
Mailing Address - Fax:770-263-9660
Practice Address - Street 1:5495 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1519
Practice Address - Country:US
Practice Address - Phone:770-263-9770
Practice Address - Fax:770-263-9660
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA226171100000X
CA6931171100000X
TN140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist