Individual provider · Type 1 NPI

Johnathan Thomas Nguyen Ulrich, MD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1306738489 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Call (706) 721-0211 Map

Mailing address

11553 Lucasville Rd
Manassas, VA 20112-4422

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306738489

Johnathan Thomas Nguyen Ulrich, MD's National Provider Identifier is 1306738489, issued on Jul 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Jul 15, 2025.