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Dr. Thai Phan, MD
Pain Medicine (Psychiatry & Neurology) Physician in Winston Salem, North Carolina
NPI 1326135021

Thai Phan is a Pain Medicine (Psychiatry & Neurology) Physician based in Winston Salem, NC and is specialized in Pain Medicine. Thai Phan practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Thai Phan is 1326135021 and holds a License No. 28930 (North Carolina).

The current practice location address for Thai Phan is 1321 Ashleybrook Ln, Winston Salem, NC and can be reached out via phone at 336-659-9440 and via fax at 336-659-9845.

Location: 1321 Ashleybrook Ln, Winston Salem, NC, 27103-2918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326135021
Provider Name
Thai Phan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1321 Ashleybrook Ln, Winston Salem, NC, 27103-2918
Phone Number
336-659-9440
Fax Number
336-659-9845
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67433 01 NC BCBS
8967433 05 NC
institution
Provider Business Practice Location Address Details
Address
1321 Ashleybrook Ln
City
Winston Salem
State
North Carolina
Zip
27103-2918
Phone Number
336-659-9440
Fax Number
336-659-9845
person
Provider Business Mailing Address Details
Address
1321 Ashleybrook Ln
City
Winston Salem
State
North Carolina
Zip
27103-2918
Phone Number
336-659-9440
Fax Number
336-659-9845
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
28930 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Pain Medicine
Taxonomy
2084P2900X
License No.
28930 (North Carolina)
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
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