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NPI Code Detail

MEDICARE: MINTY D. NGUYEN O.D.

MEDICARE: MINTY D. NGUYEN O.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
1152W00000XOptometristOPT002509GA

General Provider Information

NPI Number : 1851537823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINTY D. NGUYEN O.D.
Provider Business Mailing Address
First Line : 3333 BUFORD DR
Second Line :
City : BUFORD
State : GA
Zip : 30519-4913
Country : US
Telephone Number : 770-945-8667
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BUFORD DR
Second Line :
City : BUFORD
State : GA
Zip : 30519-4913
Country : US
Telephone Number : 770-945-8667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2008
Last Update Date : 12/22/2008

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Directions to “ MINTY D. NGUYEN O.D.” Practice Location

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