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Organization

ORACHUN SITTISUNTORN, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ORACHUN SITTISUNTORN MD (MD/OWNER)
(843) 669-5956
Entity
Organization

Contact information

Practice address
514 S DARGAN ST STE D, FLORENCE, SC 29506-2552
(843) 669-5956
(843) 669-2019
Mailing address
514 S DARGAN ST STE D, FLORENCE, SC 29506-2552
(843) 669-5956
(843) 669-2019

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17947
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117947
SC
Enumeration date
06/23/2010
Last updated
06/23/2010
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