Individual
MISS NGUYEN NGOC THI VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1880 HOWARD AVE STE 202, VIENNA, VA 22182-2611
(703) 383-4836
Mailing address
1240 EAGLES LANDING PKWY, SUITE 110, STOCKBRIDGE, GA 30281-5170
(770) 389-3855
(770) 474-8078
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007520
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2015
Last updated
07/20/2023
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