Provider Demographics
NPI:1679832950
Name:NGO, JULIA JEANNE (MD)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:JEANNE
Last Name:NGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:791 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4504
Mailing Address - Country:US
Mailing Address - Phone:629-888-5125
Mailing Address - Fax:629-888-5126
Practice Address - Street 1:791 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4504
Practice Address - Country:US
Practice Address - Phone:629-888-5125
Practice Address - Fax:629-888-5126
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-08
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN52973207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine