MEDICARE: DR. BINH V NGUYEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	76285	GA

General Provider Information

NPI Number	:	1629417597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BINH V NGUYEN MD

Provider Business Mailing Address
First Line	:	11305 BELL RD STE 105
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-9504
Country	:	US
Telephone Number	:	470-822-3700
Fax Number	:	470-822-3701

Provider Business Practice Location Address
First Line	:	11305 BELL RD STE 105
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-9504
Country	:	US
Telephone Number	:	470-822-3700
Fax Number	:	470-822-3701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	01/12/2026

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