Individual
LONG BAO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1670 MCKENDREE CHURCH RD, #800, LAWRENCEVILLE, GA 30043-4107
(770) 557-8788
Mailing address
1670 MCKENDREE CHURCH RD, #800, LAWRENCEVILLE, GA 30043-4107
(770) 557-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63507
GA
207RG0100X
Gastroenterology Physician
Primary
63507
GA
Other
Enumeration date
07/19/2007
Last updated
03/23/2015
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