Individual provider · Type 1 NPI

Dantera Tangpisuthipongsa, MD

Student in an Organized Health Care Education/Training Program · Greenwood, SC

NPI number 1588042527 Active

Practice location

155 Academy Ave
Greenwood, SC 29646-3869

Call (864) 725-4869 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588042527

Dantera Tangpisuthipongsa, MD's National Provider Identifier is 1588042527, issued on May 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenwood, SC. The record was last updated on May 11, 2015.