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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588294441 | NPPES |
| Texas | Other | PA14510 | TEXAS MEDICAL BOARD |
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