Cuong Tan Doan

NPI 1093920944 - Family Medicine - 207Q00000X

NPI Details
NPI 1093920944
Enumeration Date 05/14/2007
Last Updated 09/26/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CUONG TAN CUONG
Position OWBER
Phone (800) 409-2919
Fax
Practice Location
557 BROOKDALE DR
STATESVILLE NC, 28677-4107, US
Phone (800) 409-2919
Fax
Business Location
172 DEER RUN DR
TROUTMAN NC, 28166-7653, US
Phone (800) 409-2919
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Cuong Tan Doan NPI is 1093920944, taxonomy code is 207Q00000X Cuong Tan Doan physically located at 557 Brookdale Dr, Statesville NC, 28677-4107. NPI Number 1033115704 has the healthcare provider type.

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1093920944 NPI number is provided on an as is basis without warranty of any kind. 1093920944 is maintained by the National Plan & Provider Enumeration System. The contents of Cuong Tan Doan are for informational purposes only.