Provider Demographics
NPI:1619239365
Name:NGUYEN, HOA-DUNG T (DO)
Entity Type:Individual
Prefix:
First Name:HOA-DUNG
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 HOSPITAL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-0107
Mailing Address - Country:US
Mailing Address - Phone:828-456-9006
Mailing Address - Fax:828-456-8199
Practice Address - Street 1:360 HOSPITAL DR STE 1
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-0107
Practice Address - Country:US
Practice Address - Phone:828-456-9006
Practice Address - Fax:828-456-8199
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9407836207Q00000X
KS05-37449207Q00000X
NC2018-02274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine