Individual
HA UYEN THIS DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 RANDOLPH RD, CHARLOTTE, NC 28207-1522
(704) 377-3900
(704) 377-1244
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 782-1826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11016
NC
363A00000X
Physician Assistant
268598
NC
Other
Enumeration date
11/20/2020
Last updated
12/22/2025
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