| N.d. Lien, P.c. | |
|
4865 Lavista Rd Suite A Tucker GA 30084-4436 | |
| (770) 270-0290 | |
| (770) 723-0598 |
| Full Name | N.d. Lien, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4865 Lavista Rd, Tucker, Georgia |
| Authorized Official Name and Position | Lien Duc Nguyen (PRESIDENT) |
| Authorized Official Contact | 7702700290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N.d. Lien, P.c. Po Box 29528 Atlanta GA 30359-0528 Ph: (770) 270-0290 | N.d. Lien, P.c. 4865 Lavista Rd Suite A Tucker GA 30084-4436 Ph: (770) 270-0290 |
| NPI Number | 1063553501 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063553501 | NPI | - | NPPES |
| 1962443168 | Other | GA | LIEN D. NGUYEN, MD |
| 00258596B | Medicaid | GA | |
| 00614116C | Medicaid | GA | |
| 00735622C | Medicaid | GA | |
| 1154358760 | Other | GA | DICH V. NGUYEN, MD,EMPLOY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024046 (Georgia) | Primary |
| 208D00000X | General Practice | 036656 (Georgia) | Secondary |
News Archive
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