Individual
DR. LIEN DUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1029 CLEVELAND AVE, EAST POINT, GA 30344
(404) 766-4633
(404) 766-1108
Mailing address
PO BOX 29528, ATLANTA, GA 30344
(404) 766-4633
(404) 766-1108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258596B
—
GA
Enumeration date
06/09/2006
Last updated
11/12/2009
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