Pitiranggon, Pongstorn
Pitiranggon, Pongstorn is an individual health care provider with primary practice located at 514 S Dargan St Suite H, Florence SC 29506-2552. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pitiranggon, Pongstorn can be contacted via phone (843) 669-5956.Contact Information
Primary practice address
514 S Dargan St Suite H
Florence SC 29506-2552
Phone: (843) 669-5956
Fax: (843) 669-2019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20141 | South Carolina |
Profile Details
| NPI number | 1740272236 |
|---|---|
| LBN Legal business name | Pitiranggon, Pongstorn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 5th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740272236 | NPPES |
| South Carolina | MEDICAID | T42219 |
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