Individual
DR. THANG QUOC AN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
820 W SOUTH BLVD, MONTGOMERY, AL 36105-3019
(334) 281-1818
(334) 281-1970
Mailing address
9540 WYNLAKES PL, MONTGOMERY, AL 36117-8515
(334) 281-1818
(334) 281-1970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO448
AL
207R00000X
Internal Medicine Physician
DO-448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913630
—
AL
01
—
04-01038
UNITED HEALTHCARE
AL
Enumeration date
12/22/2005
Last updated
09/25/2019
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