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Contact Information

HIEP PHAM
2030 WINDSOR RUN LN
MATTHEWS, NC28105-0054
 Phone: 704-443-6250
 Fax: 704-443-6279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HIEP PHAM · (Male)

NPI # 1780690503
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2006
Last updated 04/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9601434
  • SC License # 22778
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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