Individual
VAN THE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
6476 CHESTNUT GLEN DR., NORCROSS, GA 30071
(678) 644-2141
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
12084
GA
367H00000X
Anesthesiologist Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2023
Last updated
06/17/2024
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