Individual
DR. CANH TIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2173 SALT MYRTLE LN, FLEMING ISLAND, FL 32003-7075
(904) 215-1171
Mailing address
2173 SALT MYRTLE LN, FLEMING ISLAND, FL 32003-7075
(904) 215-1171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME40950
FL
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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