Provider Demographics
NPI:1972925865
Name:NGUYEN, ANH-DUNG (PHD, ATC)
Entity Type:Individual
Prefix:DR
First Name:ANH-DUNG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 WESSECK RD
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9373
Mailing Address - Country:US
Mailing Address - Phone:336-402-4049
Mailing Address - Fax:
Practice Address - Street 1:3908 WESSECK RD
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9373
Practice Address - Country:US
Practice Address - Phone:336-402-4049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14652255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer