| 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 |