NPI | 1912008327 |
---|---|
Entity Type | Organization |
Authorized Contact | TUONG NGUYEN Physician 704-532-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2000-00566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-00070) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2014-02-26 |