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1255622122
SHAN FU
CONWAY, SC
NPI
1255622122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC TL 1641)
Enumeration Date
2011-04-27
Last Update Date
2022-07-20
Business Address
SHAN FU PA-C
2376 CYPRESS CIR SUITE 300
CONWAY, SC 29526-8964
Phone number: 843-347-7222
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Mailing Address
SHAN FU PA-C
210 VILLAGE CENTER BLVD STE 140
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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