THAO PHUONG NGUYEN

NORCROSS, GA
NPI1740821644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  F07191819)
Enumeration Date2019-10-01
Last Update Date2020-09-29
Business Address
THAO PHUONG NGUYEN NP-C
3985 STEVE REYNOLDS BLVD
NORCROSS, GA 30093-3035
Phone number: 678-367-0390
Mailing Address
THAO PHUONG NGUYEN NP-C
3985 STEVE REYNOLDS BLVD STE K102
NORCROSS, GA 30093-3099
Phone number: 678-367-0390