Individual
THINH DUC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1891 HOWELL MILL RD NW, ATLANTA, GA 30318-2512
(678) 515-0688
(404) 829-2380
Mailing address
1891 HOWELL MILL RD NW, ATLANTA, GA 30318-2512
(678) 515-0688
(404) 829-2380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
062402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G7018483
MEDICARE GROUP PTAN
GA
01
—
202I086003
MEDICARE INDIVIDUAL PTAN
GA
Enumeration date
03/17/2009
Last updated
06/10/2024
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