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NPI Code Detail

MEDICARE: MS. KIM NGUYEN

MEDICARE: MS. KIM NGUYEN
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
1183500000XPharmacist023949GA

General Provider Information

NPI Number : 1326491374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIM NGUYEN
Provider Business Mailing Address
First Line : 3240 S COBB DR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4194
Country : US
Telephone Number : 770-433-3420
Fax Number : 770-433-3424
Provider Business Practice Location Address
First Line : 3240 S COBB DR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-4194
Country : US
Telephone Number : 770-433-3420
Fax Number : 770-433-3424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2016
Last Update Date : 07/14/2016

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Directions to “ MS. KIM NGUYEN ” Practice Location

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