Individual
ALICE PHUONG QUYNH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2694
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(901) 827-9818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RTL23-0405
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
04/17/2026
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