Individual
THAO HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2300 MACCORKLE AVE SE, CHARLESTON, WV 25304-1045
(800) 995-4682
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0110011127
VA
363A00000X
Physician Assistant
Primary
0110011127
VA
Other
Enumeration date
06/23/2025
Last updated
12/02/2025
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