Individual
DR. SUONG THU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2015 UPPERGATE DR NE RM 564, ATLANTA, GA 30322-1014
(404) 785-5437
(404) 785-9098
Mailing address
2015 UPPERGATE DR NE RM 564, ATLANTA, GA 30322-1014
(404) 785-5437
(404) 785-9098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019023007
MO
2080P0208X
Pediatric Infectious Diseases Physician
2019023007
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
99127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062115
—
MO
Enumeration date
06/18/2016
Last updated
05/02/2024
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