Individual
TONY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
124 ISLAND PROFESSIONAL PARK, ST SIMONS IS, GA 31522-2879
(912) 638-1444
(912) 638-0077
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003210
GA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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