Individual
CUONG TAN DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
(704) 887-6450
Mailing address
1520 LYON CT, CHARLOTTE, NC 28205-5320
(704) 567-8218
(704) 567-1717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-01854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710052337
—
NC
05
—
5906670
—
NC
05
—
NC1608
—
SC
Enumeration date
11/21/2006
Last updated
02/13/2024
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