Organization
N.D. LIEN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIEN DUC NGUYEN M.D. (PRESIDENT)
(770) 270-0290
Entity
Organization
Contact information
Practice address
4865 LAVISTA RD, SUITE A, TUCKER, GA 30084-4436
(770) 270-0290
(770) 723-0598
Mailing address
PO BOX 29528, ATLANTA, GA 30359-0528
(770) 270-0290
(770) 723-0598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024046
GA
208D00000X
General Practice Physician
036656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00258596B
—
GA
05
—
00614116C
—
GA
05
—
00735622C
—
GA
01
—
1154358760
DICH V. NGUYEN, MD,EMPLOY
GA
01
—
1962443168
LIEN D. NGUYEN, MD
GA
Enumeration date
02/09/2007
Last updated
01/24/2012
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