Doctor Name: | MRS. TUONG T NGUYEN |
NPI Number: | 1851349450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME45419 |
Business Practice Address: | 1000 N Main St Chattahoochee, FL - 32324 |
Business Phone Number: | 8506637505 |
Business Fax Number: | |
Mailing Address: | 205 E Washington St, CHATTAHOOCHEE |
State: | FL |
Postal Code: | 323241530 |
Phone Number: | 8506634530 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | ME45419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |