Nguyen, Dat M

Nguyen, Dat M is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Ste 201 , Gainesville GA 30501-3811. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Nguyen, Dat M can be contacted via phone (770) 219-8765.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Ste 201 Gainesville GA 30501-3811
Phone: (770) 219-8765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9632 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 9632 Georgia

Profile Details

NPI number 1588294441
LBN Legal business name Nguyen, Dat M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Aug 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588294441 NPPES
Texas Other PA14510 TEXAS MEDICAL BOARD

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