Individual
TAN-LOC P NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 922-9136
(478) 923-6846
Mailing address
1025 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 922-9136
(478) 923-6846
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000982055A
—
GA
Enumeration date
05/28/2006
Last updated
07/17/2008
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