Individual
KIMLIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
Mailing address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186808082E
—
GA
Enumeration date
09/28/2007
Last updated
05/02/2017
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