Organization
TUAN MINH-QUOC NGUYEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE CHANG (OFFICE MANAGER)
(770) 454-9047
Entity
Organization
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, SUITE 202A, NORCROSS, GA 30071-1547
(770) 454-9047
(770) 457-6311
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD, SUITE 202A, NORCROSS, GA 30071-1547
(770) 454-9047
(770) 457-6311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041470
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000747832A
PEACH STATE
GA
05
—
00747832A
—
GA
01
—
10033241
AMERIGROUP
GA
01
—
303268
WELLCARE
GA
01
—
85002012G
GEORGIA BETTER HEALTH CARE
GA
Enumeration date
06/03/2008
Last updated
06/13/2024
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