Provider Demographics
NPI:1770668592
Name:NGUYEN, BINH K (BSDC)
Entity Type:Individual
Prefix:DR
First Name:BINH
Middle Name:K
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:BSDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3364 CHAMBLEE TUCKER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4357
Mailing Address - Country:US
Mailing Address - Phone:770-457-4002
Mailing Address - Fax:770-458-1919
Practice Address - Street 1:3364 CHAMBLEE TUCKER RD
Practice Address - Street 2:SUITE E
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-4357
Practice Address - Country:US
Practice Address - Phone:770-457-4002
Practice Address - Fax:770-458-1919
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO06865111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor