Individual
KIMBERLY T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3496 CLUB DR, LAWRENCEVILLE, GA 30044-3021
(770) 248-9345
(770) 797-9615
Mailing address
3496 CLUB DR, LAWRENCEVILLE, GA 30044-3021
(770) 248-9345
(770) 797-9615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000908179B
—
GA
01
—
837002
BCBS
GA
Enumeration date
03/19/2007
Last updated
11/09/2023
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