Provider Demographics
NPI:1679896104
Name:NGUYEN, STEVEN TUAN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:TUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TUAN
Other - Middle Name:THANH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4775 JIMMY CARTER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3752
Mailing Address - Country:US
Mailing Address - Phone:678-451-1828
Mailing Address - Fax:678-451-1829
Practice Address - Street 1:4775 JIMMY CARTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3752
Practice Address - Country:US
Practice Address - Phone:678-451-1828
Practice Address - Fax:678-451-1829
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249045207LP2900X
GA065154208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine