MEDICARE: MRS. CHRISTINA NGOC NGUYEN M.D.

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	207Q00000X	Family Medicine Physician	LL26916	SC
2	207Q00000X	Family Medicine Physician	059083	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770691818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA NGOC NGUYEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 742616
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2616
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	4754 MARTIN RD
Second Line	:
City	:	FLOWERY BRANCH
State	:	GA
Zip	:	30542-3507
Country	:	US
Telephone Number	:	770-965-0847
Fax Number	:	770-965-0974

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	10/27/2020

Similar Medicare Providers

1811989320 — ERIC L BOHN M.D.
Practice Location Address:

4754 MARTIN RD
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-965-0847
Practice Fax: 770-965-0974

1629060918 — RENEE D. KIMBALL M.D.
Practice Location Address:

4754 MARTIN RD
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-965-0847
Practice Fax: 770-965-0974

1508804428 — MR. BRENDON BLAKE P.T.
Practice Location Address:

4754 MARTIN RD , SUITE 200
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-967-4377
Practice Fax: 770-967-8077

1225053572 — JULIE ANN HOPPER PA-C
Practice Location Address:

4754 MARTIN RD
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-848-9130
Practice Fax: 770-848-9131

1053596569 — MRS. GINA RENEE BLAKE P.T.
Practice Location Address:

4754 MARTIN RD , SUITE 200
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-967-4377
Practice Fax: 770-967-8077

1962669275 — BACK IN THE GAME PHYSICAL THERAPY, INC
Practice Location Address:

4754 MARTIN RD , SUITE 200
FLOWERY BRANCH, GA
30542-3507

Practice Phone: 770-967-4377
Practice Fax: 770-967-8077

Directions to “ MRS. CHRISTINA NGOC NGUYEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.