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Individual

CAROLINE BAO NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
900 TOWNE LAKE PKWY, SUITE 210, WOODSTOCK, GA 30189-1602
(770) 592-2300
(770) 592-2040
Mailing address
900 TOWNE LAKE PKWY, SUITE 210, WOODSTOCK, GA 30189-1602
(770) 592-2300
(770) 592-2040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056742
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003149621B
GA
05
003149911A
GA
Enumeration date
08/30/2006
Last updated
10/15/2020
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