Organization
CENTRAL CAROLINA MEDICAL CLINIC, PA
Active
Other names
Central Carolina Medical Clinic, PA - Paw Creek Center
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG NGUYEN MD (OWNER/PHYSICIAN)
(704) 532-8884
Entity
Organization
Contact information
Practice address
515 LITTLE ROCK ROAD, CHARLOTTE, NC 28214
(704) 532-8884
(704) 532-8789
Mailing address
6404 ALBEMARLE ROAD, SUITE J & K, CHARLOTTE, NC 28214
(704) 532-8884
(704) 532-8789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-00070
NC
207R00000X
Internal Medicine Physician
2000-00566
NC
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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