Individual
MICHON TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 COX RD STE 166, GASTONIA, NC 28054-0604
(704) 865-7077
Mailing address
718 W TRADE ST UNIT 510, CHARLOTTE, NC 28202-1347
(630) 301-1760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2592
NC
207W00000X
Ophthalmology Physician
2592
NC
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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