Nguyen, Xavier Anh

Nguyen, Xavier Anh is an sole proprietor health care provider with primary practice located at 4897 Buford Hwy Suite 167, Chamblee GA 30341-3667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Xavier Anh can be contacted via phone (770) 458-8377.

Contact Information

Primary practice address
4897 Buford Hwy Suite 167 Chamblee GA 30341-3667
Fax: (770) 458-8746
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 044973 Georgia

Profile Details

NPI number 1255474409
LBN Legal business name Nguyen, Xavier Anh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 14 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 1255474409 NPPES
Georgia Other 304161 WELLCARE OF GEORGIA
Georgia MEDICAID 00808112A WELLCARE OF GEORGIA

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