Vuthiganon, Jantana
Vuthiganon, Jantana is an individual health care provider with primary practice located at 1506 Grays Highway Suite C, Ridgeland SC 29936. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vuthiganon, Jantana can be contacted via phone (843) 726-4527.Contact Information
Primary practice address
1506 Grays Highway Suite C
Ridgeland SC 29936
Phone: (843) 726-4527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11823 | South Carolina |
Profile Details
| NPI number | 1497707210 |
|---|---|
| LBN Legal business name | Vuthiganon, Jantana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1497707210 | NPPES |
| South Carolina | MEDICAID | 118232 |
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