Organization
CENTRAL CAROLINA MEDICAL CLINIC, P.A.
Active
Organization
CENTRAL CAROLINA MEDICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUONG NGUYEN M.D. (PHYSICIAN)
(704) 532-8884
Entity
Organization
Contact information
Practice address
6404 ALBEMARLE RD, SUITE J&K, CHARLOTTE, NC 28212-3800
(704) 532-8884
(704) 532-8789
Mailing address
6404 ALBEMARLE RD, SUITE J&K, CHARLOTTE, NC 28212-3800
(704) 532-8884
(704) 532-8789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008-00070
NC
207R00000X
Internal Medicine Physician
Primary
2000-00566
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/26/2006
Last updated
02/26/2014
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