Provider Demographics
NPI:1124446430
Name:NGUYEN, HIEN NGOC (MD)
Entity type:Individual
Prefix:
First Name:HIEN
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2172 N SALEM ST STE 105
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6457
Mailing Address - Country:US
Mailing Address - Phone:919-629-4360
Mailing Address - Fax:919-629-4362
Practice Address - Street 1:2172 N SALEM ST STE 105
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-6457
Practice Address - Country:US
Practice Address - Phone:919-629-4360
Practice Address - Fax:919-629-4362
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00667208D00000X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice