SUPAVICH TANNUMSAENG

GREENVILLE, NC
NPI1669212221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-30
Last Update Date2024-09-27
Business Address
Mr. SUPAVICH TANNUMSAENG M.D.
2100 STANTONSBURG ROAD, ECU HEALTH MEDICAL CENTER
GREENVILLE, NC 27834
Phone number: 252-847-4100
Mailing Address
Mr. SUPAVICH TANNUMSAENG M.D.
2100 STANTONSBURG ROAD, ECU HEALTH MEDICAL CENTER
GREENVILLE, NC 27834
Phone number: 252-847-4100
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