Provider Demographics
NPI:1457486821
Name:DANG, NGOC BINH
Entity Type:Individual
Prefix:MS
First Name:NGOC
Middle Name:BINH
Last Name:DANG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NGOC
Other - Middle Name:BINH
Other - Last Name:GUHNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4924 MEADOW TRACE LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4063
Mailing Address - Country:US
Mailing Address - Phone:423-894-3222
Mailing Address - Fax:423-499-8435
Practice Address - Street 1:4632 HIGHWAY 58
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-3013
Practice Address - Country:US
Practice Address - Phone:423-894-3222
Practice Address - Fax:423-499-8435
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist