Provider Demographics
NPI:1437475506
Name:VU, VIET ANH (DPM)
Entity Type:Individual
Prefix:
First Name:VIET ANH
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 E PINETREE BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-5390
Mailing Address - Country:US
Mailing Address - Phone:229-236-3338
Mailing Address - Fax:229-236-3337
Practice Address - Street 1:2024 E PINETREE BLVD STE H
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-5391
Practice Address - Country:US
Practice Address - Phone:229-236-3338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006147213ES0103X
GAPOD001189213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery