Dat Thanh Ta MD

NPI 1194049049 - Emergency Medicine - 207P00000X

NPI Details
NPI 1194049049
Gender Male
Enumeration Date 03/22/2010
Last Updated 03/19/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
10628 PARK RD
EMERGENCY DEPARTMENT
CHARLOTTE NC, 28210-8407, US
Phone (877) 678-0949
Fax
Business Location
10628 PARK RD
EMERGENCY DEPARTMENT
CHARLOTTE NC, 28210-8407, US
Phone (877) 678-0949
Fax
Toxanomy
Taxonomy Code 207P00000X
License State North Carolina
License Number 2013-00142
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According to our database, Dat Thanh Ta MD NPI is 1194049049, taxonomy code is 207P00000X and license number is 2013-00142, license state is located at North Carolina. Dat Thanh Ta MD physically located at 10628 Park Rd, Charlotte NC, 28210-8407. NPI Number Dat Thanh Ta MD has the Individual type.

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1194049049 NPI number is provided on an as is basis without warranty of any kind. 1194049049 is maintained by the National Plan & Provider Enumeration System. The contents of Dat Thanh Ta MD are for informational purposes only.