Individual
THAO THI PHUONG WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119-0846
(901) 866-8525
(901) 302-2525
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
77173
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
74979
TN
Other
Enumeration date
05/20/2016
Last updated
09/16/2025
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