Individual
DAT THANH TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10628 PARK RD, EMERGENCY DEPARTMENT, CHARLOTTE, NC 28210-8407
(877) 678-0949
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013-00142
NC
Other
Enumeration date
03/22/2010
Last updated
04/17/2026
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