Individual
DUY AN TRAN MINIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
118 MEMORIAL DR, JACKSONVILLE, NC 28546-6328
(910) 353-0581
(910) 577-1150
Mailing address
PO BOX 986513, DEPARTMENT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017-01755
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2017-01755
NC
Other
Enumeration date
04/24/2014
Last updated
04/19/2024
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