Individual
MS. PHUONG-MAI JENNIFER THI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10880 DURANT RD, STE 100, RALEIGH, NC 27614-6629
(919) 781-7500
Mailing address
3100 BLUE RIDGE RD, STE 300, RALEIGH, NC 27612-8002
(919) 781-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-01058
NC
208000000X
Pediatrics Physician
2016-01058
NC
Other
Enumeration date
04/06/2011
Last updated
11/16/2016
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