Individual
PHUONG HOAI NGUYEN-ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1373 WESTGATE CENTER DRIVE, SUITE 210, WINSTON SALEM, NC 27103-2934
(336) 760-6667
(336) 760-6648
Mailing address
1373 WESTGATE CENTER DR, SUITE 210, WINSTON SALEM, NC 27103-3051
(336) 760-6667
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NC
Other
Enumeration date
10/12/2006
Last updated
08/31/2007
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