Individual
DR. CHRISTOPE LIEM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E WOOD ST FL 3, SPARTANBURG, SC 29303
(864) 560-1900
(864) 560-1925
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21507
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215074
—
SC
05
—
5903934
—
NC
01
—
H841603365
MEDICARE PIN
SC
01
—
P00691777
RR MEDICARE
SC
01
—
P01099013
RAILROAD MEDICARE
SC
Enumeration date
04/18/2006
Last updated
11/19/2020
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