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Individual

DR. BAO TRAM THI NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2685 PEACHTREE PKWY STE 300, SUWANEE, GA 30024-1048
(770) 771-5260
(770) 771-5279
Mailing address
1701 STONEY CHASE DR, LAWRENCEVILLE, GA 30044-2896
(678) 617-4033

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89158
GA
208D00000X
General Practice Physician
02004760A
IN

Other

Enumeration date
07/31/2014
Last updated
10/18/2021
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