Individual
PHONG H NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 BUENA VISTA CIRCLE, SOUTH HILL, VA 23970
(434) 447-3151
(434) 774-2452
Mailing address
125 BUENA VISTA CIRCLE, SOUTH HILL, VA 23970
(434) 447-3151
(434) 774-2452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101056241
VA
207Q00000X
Family Medicine Physician
0101056241
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5869871
—
VA
Enumeration date
11/21/2005
Last updated
09/11/2025
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