Organization
Q.A. THAI NEUROSURGERY CENTER PC
Active
Organization
Q.A. THAI NEUROSURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUOC-ANH THAI M.D. (NEUROSURGEON)
(252) 331-2242
Entity
Organization
Contact information
Practice address
105 N ROAD ST, ELIZABETH CITY, NC 27909-4345
(252) 331-2242
(252) 331-2929
Mailing address
105 N ROAD ST, ELIZABETH CITY, NC 27909-4345
(252) 331-2242
(252) 331-2929
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2006-00270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905230
—
NC
Enumeration date
06/17/2006
Last updated
03/22/2010
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