Individual
MR. KEVIN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
868 BUFORD HWY, CUMMING, GA 30041
(678) 284-2006
Mailing address
2405 HIGHLAND PASS, ALPHARETTA, GA 30004-8439
(770) 880-0704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
12/02/2020
Last updated
11/11/2022
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