Nguyen, Thomas A

Nguyen, Thomas A is an individual health care provider with primary practice located at 97 Hefner St Ste 202 , East Ellijay GA 30540-8268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Thomas A can be contacted via phone (706) 635-5177.

Contact Information

Primary practice address
97 Hefner St Ste 202 East Ellijay GA 30540-8268
Phone: (706) 635-5177
Fax: (706) 635-5171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 062579 Georgia

Profile Details

NPI number 1669495669
LBN Legal business name Nguyen, Thomas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669495669 NPPES
Georgia Other 52254127 B/CB/S
Georgia MEDICAID 006600183A B/CB/S

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