Provider Demographics
NPI:1871929836
Name:THE NGUYEN'S GROUP, PC
Entity type:Organization
Organization Name:THE NGUYEN'S GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHUONG
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:404-254-2857
Mailing Address - Street 1:4337 BUFORD HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-5044
Mailing Address - Country:US
Mailing Address - Phone:404-254-2857
Mailing Address - Fax:404-748-9176
Practice Address - Street 1:4337 BUFORD HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-5044
Practice Address - Country:US
Practice Address - Phone:404-254-2857
Practice Address - Fax:404-748-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038060207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty