Individual
KELLY TRANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 ATLANTA HWY NW, WINDER, GA 30680-7826
(770) 307-1272
Mailing address
392 ANNABEE CT, LAWRENCEVILLE, GA 30044-1515
(404) 513-8741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028602
GA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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