Organization
GEORGIA HEALTHIER SOLUTIONS, LLC
Active
Other names
Dr. Cecile Q. Nguyen, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILE Q. NGUYEN M.D. (PRESIDENT)
(404) 766-4633
Entity
Organization
Contact information
Practice address
1029 CLEVELAND AVE, EAST POINT, GA 30344-6719
(404) 766-4633
(404) 766-1108
Mailing address
PO BOX 229, GRIFFIN, GA 30224-0006
(404) 766-4633
(404) 766-1108
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
039644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11BDLTM
MEDICARE PROVIDER #
GA
01
—
11D0260723
CLIA ID
GA
01
—
202G709719
MEDICARE PTAN
GA
05
—
989123085A
—
GA
Enumeration date
07/22/2009
Last updated
10/07/2010
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