Organization
VANCE FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH T VU MD (OWNER)
(252) 430-0666
Entity
Organization
Contact information
Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Mailing address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344628A
—
NC
Enumeration date
03/31/2006
Last updated
08/05/2010
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