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1073006961
MAI-TRINH TRUONG PHAM
COLUMBIA, SC
NPI
1073006961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 52674)
Enumeration Date
2018-06-14
Last Update Date
2024-06-17
Business Address
MAI-TRINH TRUONG PHAM MD
3600 FOREST DR STE 300
COLUMBIA, SC 29204-4057
Phone number: 803-749-5101
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Mailing Address
MAI-TRINH TRUONG PHAM MD
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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