Ta, Phuong-Lynh Nguyen

Ta, Phuong-Lynh Nguyen is an individual health care provider with primary practice located at 1107 Memorial Dr Suite 300, Dalton GA 30720-8662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ta, Phuong-Lynh Nguyen can be contacted via phone (706) 226-3139.

Contact Information

Primary practice address
1107 Memorial Dr Suite 300 Dalton GA 30720-8662
Fax: (706) 278-6606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50447 Georgia

Profile Details

NPI number 1255338034
LBN Legal business name Ta, Phuong-Lynh Nguyen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 17th, 2013 - about 12 years ago

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 1255338034 NPPES
Georgia MEDICAID 000911974A

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