Individual
THAO MINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(404) 785-7448
Mailing address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(404) 785-7448
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
026283
LA
208000000X
Pediatrics Physician
Primary
058110
GA
208000000X
Pediatrics Physician
26357
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1051756
—
LA
Enumeration date
11/08/2006
Last updated
07/08/2007
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