| Doctor Name: | DR. HUNG THIEN LY |
| NPI Number: | 1639296569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | GA047797 |
| Business Practice Address: | 1393 Us Highway 80 E Pooler, GA - 313228901 |
| Business Phone Number: | 9129640108 |
| Business Fax Number: | |
| Mailing Address: | Po Box 31096, SAVANNAH |
| State: | GA |
| Postal Code: | 314108196 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | GA047797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |