Individual
BAO-ANH NGOC BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1756 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 485-8831
(866) 559-1259
Mailing address
PO BOX 2582, BRYSON CITY, NC 28713-2582
(910) 239-8100
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075474B
MEDICARE PTAN
NC
01
—
P01034103
RAILROAD MEDICARE
NC
Enumeration date
04/13/2007
Last updated
08/10/2023
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