Individual
GIA-THIEN H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90978
STATE OF GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
06/15/2020
Last updated
06/17/2022
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