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NPI Code Detail

MEDICARE: CHRISTY HUYNH M.D.

MEDICARE: CHRISTY HUYNH 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
1207Q00000XFamily Medicine Physician72635GA

General Provider Information

NPI Number : 1912294703
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY HUYNH M.D.
Provider Business Mailing Address
First Line : 480 JOHN WESLEY DOBBS AVE NE
Second Line : UNITE 720
City : ATLANTA
State : GA
Zip : 30312-5324
Country : US
Telephone Number : 310-297-0499
Fax Number :
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR STE 200
Second Line :
City : MORROW
State : GA
Zip : 30260-4129
Country : US
Telephone Number : 770-968-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 12/06/2021

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