Provider Demographics
NPI:1942621537
Name:TRAN, QUYNH (PA)
Entity Type:Individual
Prefix:
First Name:QUYNH
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:827 DRUID OAKS NE
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3266
Mailing Address - Country:US
Mailing Address - Phone:404-797-4963
Mailing Address - Fax:
Practice Address - Street 1:1200 NORTHSIDE FORSYTH DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7659
Practice Address - Country:US
Practice Address - Phone:770-844-3200
Practice Address - Fax:770-844-3655
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2018-03-14
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Provider Licenses
StateLicense IDTaxonomies
GA66562278C0205X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care