| NPI | 1407271109 |
|---|---|
| Doing Business As | CENTRAL CAROLINA MEDICAL CLINIC, PA - PAW CREEK CENTER |
| Entity Type | Organization |
| Authorized Contact | TUONG NGUYEN Owner/Physician 704-532-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-00070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2000-00566) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |