Provider Demographics
NPI:1962652164
Name:THE NGUYEN GROUP
Entity Type:Organization
Organization Name:THE NGUYEN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHUONG
Authorized Official - Middle Name:V
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-458-3020
Mailing Address - Street 1:5164 BUFORD HWY NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-1105
Mailing Address - Country:US
Mailing Address - Phone:770-458-3020
Mailing Address - Fax:770-458-1508
Practice Address - Street 1:5164 BUFORD HWY NE
Practice Address - Street 2:SUITE 100
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-1105
Practice Address - Country:US
Practice Address - Phone:770-458-3020
Practice Address - Fax:770-458-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA38060207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty