Individual
JANINE TRAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2012 PINEVIEW AVE, TIFTON, GA 31794-3035
(229) 382-4765
(229) 382-4819
Mailing address
PO BOX 1186, TIFTON, GA 31793-1186
(229) 382-4765
(229) 382-4819
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001816
VA
152W00000X
Optometrist
6699T
TX
152W00000X
Optometrist
Primary
OPT002801
GA
Other
Enumeration date
10/24/2006
Last updated
06/11/2014
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