Individual
VIVA BAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE BLDG 5TH, ATLANTA, GA 30308-2247
(404) 686-0659
(404) 303-6366
Mailing address
550 PEACHTREE ST NE BLDG 5TH, ATLANTA, GA 30308-2247
(404) 686-0659
(404) 303-6366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92050
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/16/2019
Last updated
06/29/2022
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