Individual
MR. JAMES M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
9404 KERR CT, ORLANDO, FL 32817-2617
(321) 663-2697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10926
GA
363A00000X
Physician Assistant
58811
CA
363AS0400X
Surgical Physician Assistant
58811
CA
Other
Enumeration date
08/03/2020
Last updated
11/28/2022
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