Individual
DR. CECILE Q. NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1029 CLEVELAND AVE, EAST POINT, GA 30344
(404) 766-4633
(404) 766-1108
Mailing address
PO BOX 229, GRIFFIN, GA 30224-0006
(404) 766-4633
(404) 766-1108
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
039644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00735622C
—
GA
Enumeration date
06/13/2006
Last updated
10/07/2010
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