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Individual

KHOA D NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1499 FAIR ROAD, STATESBORO, GA 30458
(912) 486-1533
(912) 871-2396
Mailing address
P.O. BOX 3578, AUGUSTA, GA 30914-3578
(706) 737-4575
(706) 731-5289

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
053793
GA
2085N0700X
Neuroradiology Physician
053793
GA
2085N0904X
Nuclear Radiology Physician
053793
GA
2085P0229X
Pediatric Radiology Physician
053793
GA
2085R0202X
Diagnostic Radiology Physician
0101284501
VA
2085R0202X
Diagnostic Radiology Physician
053793
GA
2085R0202X
Diagnostic Radiology Physician
25IA12514200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
53793
GA
2085R0204X
Vascular & Interventional Radiology Physician
053793
GA
2085R0204X
Vascular & Interventional Radiology Physician
53793
GA
2085U0001X
Diagnostic Ultrasound Physician
053793
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002515
BLUE CROSS
GA
01
30017056
KEYSTONE MERCY
GA
05
889490068A
GA
05
889490068C
GA
05
G53793
SC
01
P00061112
RAILROAD MEDICARE
Enumeration date
09/09/2005
Last updated
04/30/2026
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