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Individual

JENNIFER V NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8936 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 943-3714
Mailing address
1450 PROFESSIONAL PARK DR STE 150, WINSTON SALEM, NC 27103-1307
(336) 724-2434
(336) 607-8061

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D82013
MD
207N00000X
Dermatology Physician
MD443696
PA
207ND0900X
Dermatopathology Physician
Primary
2022-02326
NC
207ND0900X
Dermatopathology Physician
D0082013
MD
207ND0900X
Dermatopathology Physician
MD443696
PA

Other

Enumeration date
08/28/2007
Last updated
12/14/2022
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