Individual
DAT M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
9632
GA
363A00000X
Physician Assistant
Primary
9632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14510
TEXAS MEDICAL BOARD
TX
Enumeration date
01/20/2020
Last updated
12/03/2025
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