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1528234473
TANVIR MAHTAB
ORANGEBURG, SC
NPI
1528234473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: SC 28238)
Enumeration Date
2008-05-01
Last Update Date
2021-11-29
Business Address
Dr. TANVIR MAHTAB MD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
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Mailing Address
Dr. TANVIR MAHTAB MD
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
Copy
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