Individual
THAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422-0020
(910) 721-4050
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2025-01666
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
09/17/2025
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