Individual
TAO CUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1804 DAVIE AVE, STATESVILLE, NC 28677-3524
(704) 873-7250
(704) 878-9457
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2021-02258
NC
208800000X
Urology Physician
219481
NC
Other
Enumeration date
06/23/2009
Last updated
09/24/2024
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