Individual
DR. HENRY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 660-2118
Mailing address
PO BOX 9247, COLUMBUS, GA 31908-9247
(706) 322-7884
(706) 660-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000758194E
—
GA
05
—
000758194H
—
GA
01
—
202I081213
MEDICARE PTAN
GA
01
—
P01338536
RAILROAD MEDICARE
GA
Enumeration date
10/04/2005
Last updated
07/31/2015
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