Individual
PHUONG THAO THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
3974 LEEWARD CT, DULUTH, GA 30096-5288
(404) 403-5822
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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