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1053765057
PHUONGTAM NGUYEN
VILLA RICA, GA
NPI
1053765057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: GA 83914)
Enumeration Date
2016-04-16
Last Update Date
2021-05-13
Business Address
PHUONGTAM NGUYEN MD
101 QUARTZ DR STE 103
VILLA RICA, GA 30180-3255
Phone number: 770-812-3530
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Mailing Address
PHUONGTAM NGUYEN MD
4037 NW 86TH TER
GAINESVILLE, FL 32606-9277
Phone number:
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