Individual provider · NPI-1
Tung Van Nguyen, DO
Family Medicine · Mableton, GA
NPI number1245248103
StatusActive
Last updated in NPPESSep 26, 2019
Details
- NPI
- 1245248103
- Entity type
- Individual (NPI-1)
- Name
- Tung Van Nguyen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Sep 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 44802 | GA | Yes |
Practice location
657 Vinings Estates Dr SeMableton, GA 30126
Phone 404-274-5182 · Fax 678-398-5442
Mailing address
1790 Mulkey RdSte. 8
Austell, GA 30106-1122
Phone 770-944-1830 · Fax 770-739-0260
Other practice locations
1790 Mulkey Rd Ste 8a
Austell, GA 30106-1122
Austell, GA 30106-1122
Phone 770-944-1830 · Fax 770-739-0260
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.