Individual
THAO T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
699 CHURCH ST NE STE 340, MARIETTA, GA 30060-1131
(678) 355-1620
(770) 420-3422
Mailing address
699 CHURCH ST NE STE 340, MARIETTA, GA 30060-1131
(678) 355-1620
(770) 420-3422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008034
GA
Other
Enumeration date
07/22/2016
Last updated
09/06/2023
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