Individual
MS. NGOC TRAN AMI THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6490 STAGE RD STE 106, BARTLETT, TN 38134-3863
(901) 746-9888
Mailing address
6490 STAGE RD STE 106, BARTLETT, TN 38134-3863
(901) 746-9888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3140
TN
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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