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Contact Information

TAN D NGUYEN, RPA
97 HEFNER ST
SUITE 202
EAST ELLIJAY, GA30540-8268
 Phone: 706-635-5177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiology Practitioner Assistant

243U00000X
Indicates primary specialty

NPI Profile & details for TAN D NGUYEN · (Male)

NPI Number 1407140098
Status Active
Credentials RPA
Entity Individual
Enumeration date 06/01/2011
Last updated 05/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 912827
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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