Individual
THANH CONG HUYNH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 DAWSON RD, ALBANY, GA 31707-2800
(229) 312-8800
Mailing address
2336 DAWSON RD, ALBANY, GA 31707-2800
(229) 312-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049698126
DRIVERS LICENSE
GA
Enumeration date
06/07/2022
Last updated
06/07/2022
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