DAT THANH TA

CHARLOTTE, NC
NPI1194049049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  2013-00142)
Enumeration Date2010-03-22
Last Update Date2014-03-19
Business Address
-- DAT THANH TA MD
10628 PARK RD EMERGENCY DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 877-678-0949
Mailing Address
-- DAT THANH TA MD
10628 PARK RD EMERGENCY DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 877-678-0949