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1770841694
QUAN FANG
CHARLESTON, SC
NPI
1770841694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC LL34517)
Enumeration Date
2012-04-28
Last Update Date
2012-04-28
Business Address
-- QUAN FANG M.D.
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-4638
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Mailing Address
-- QUAN FANG M.D.
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-4638
Copy
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