person
Sotheary Chan, PA
Medical Physician Assistant in Fairfax, South Carolina
NPI 1750551818

Sotheary Chan is a Medical Physician Assistant based in Fairfax, SC and is specialized in Medical. Sotheary Chan practices in Fairfax, SC and has the professional credentials of PA. The NPI Number for Sotheary Chan is 1750551818 and holds a License No. 1272 (South Carolina).

The current practice location address for Sotheary Chan is 1787 Allendale Fairfax Hwy, Fairfax, SC and can be reached out via phone at 803-632-1176 and via fax at 803-632-2410.

Location: 1787 Allendale Fairfax Hwy, Fairfax, SC, 29827-0218
person
Provider Profile Details
NPI Number
1750551818
Provider Name
Sotheary Chan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1787 Allendale Fairfax Hwy, Fairfax, SC, 29827-0218
Phone Number
803-632-1176
Fax Number
803-632-2410
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1787 Allendale Fairfax Hwy
City
State
Zip
29827-9133
Phone Number
803-632-1176
Fax Number
803-632-2410
person
Provider Business Mailing Address Details
Address
1787 Allendale Fairfax Hwy
City
State
Zip
29827-9133
Phone Number
803-632-1176
Fax Number
803-632-2410
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1272 (South Carolina)
Definition
Definition to come...
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