Provider Demographics
NPI:1215072244
Name:NGUYEN, GIANG T (DPM)
Entity type:Individual
Prefix:DR
First Name:GIANG
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 EXECUTIVE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-7907
Mailing Address - Country:US
Mailing Address - Phone:423-877-0050
Mailing Address - Fax:423-877-7791
Practice Address - Street 1:1021 EXECUTIVE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-7907
Practice Address - Country:US
Practice Address - Phone:423-877-0050
Practice Address - Fax:423-877-7791
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM504213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3058476OtherBCBS IND. PROVIDER#
U62637Medicare UPIN
TN3352729Medicare ID - Type UnspecifiedMEDICARE INDIV. PROVIDER#
TN3353471Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER#