Individual
KEVIN TRI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1968 PEACHTREE RD, NW, 77 BUILDING, 5TH FLOOR, ATLANTA, GA 30309
(404) 596-1157
Mailing address
1968 PEACHTREE RD, NW, 77 BUILDING, 5TH FLOOR, ATLANTA, GA 30309
(404) 596-1157
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
070482
GA
208600000X
Surgery Physician
4301081515
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301081515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138660A
—
GA
Enumeration date
03/29/2007
Last updated
09/03/2015
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