Individual
KHANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST STE A, AMERICUS, GA 31709-3015
(229) 591-4000
Mailing address
122 W FORSYTH ST, AMERICUS, GA 31709-3561
(229) 591-4000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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