Provider Demographics
NPI:1609819283
Name:NGUYEN, CECILE Q (MD)
Entity type:Individual
Prefix:DR
First Name:CECILE
Middle Name:Q
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGIA
Other - Middle Name:HEALTHIER
Other - Last Name:SOLUTIONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-0006
Mailing Address - Country:US
Mailing Address - Phone:404-766-4633
Mailing Address - Fax:404-766-1108
Practice Address - Street 1:1029 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344
Practice Address - Country:US
Practice Address - Phone:404-766-4633
Practice Address - Fax:404-766-1108
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA039644207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00735622CMedicaid
G44062Medicare UPIN
GA11BDLTMMedicare ID - Type Unspecified