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Individual

DR. CHUCK T NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1090 E CENTRAL AVE, RAEFORD, NC 28376-3039
(910) 875-4545
Mailing address
208 WOODCREST RD, FAYETTEVILLE, NC 28305-5237
(910) 309-3566

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011-01588
NC
207Q00000X
Family Medicine Physician
Primary
A80056
CA

Other

Enumeration date
03/09/2006
Last updated
04/25/2012
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