Male or Other

Dr. Long T. Quan M.D., PH.D.

Dermatology Physician in Columbia, SC(View on Map)

Full Name

Dr. Long Thang Quan M.D., PH.D.

NPI Number

1194784058

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/20/2006

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina

License Number

22472

Contact
Information

Purpose

Mailing
Location

Address

1706 SAINT JULIAN PL
1706 SAINT JULIAN PL

City

Columbia
Columbia

State

SC
SC

Postal Code

29204-2410
29204-2410

Country

US
US

Telephone Number

(803) 771-7506
(803) 771-7506

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/09/2007

Provider Address

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