Individual
NAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DOWMAN DR NE, ATLANTA, GA 30322-1061
(404) 727-6123
Mailing address
201 DOWMAN DR NE, ATLANTA, GA 30322-1061
(404) 727-6123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060811916
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
01/11/2022
Last updated
01/11/2022
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