Individual
BACH TUYET THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 3RD AVE, GASTONIA, NC 28052-4317
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02731
NC
Other
Enumeration date
03/10/2011
Last updated
02/16/2022
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