Individual
THAIHANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 DOCTORS DR STE G, DOUGLAS, GA 31533-2211
(912) 384-1477
(912) 389-1558
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
(912) 384-1470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069494
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135639A
—
GA
01
—
069494
MEDICAL LICENSE
GA
Enumeration date
03/19/2010
Last updated
07/21/2022
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