DANTERA TANGPISUTHIPONGSA

GREENWOOD, SC
NPI1588042527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- DANTERA TANGPISUTHIPONGSA MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4869
Mailing Address
-- DANTERA TANGPISUTHIPONGSA MD
155 ACADEMY AVE
GREENWOOD, SC 29646-3869
Phone number: 864-725-4869