Individual
MAI-TRINH TRUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 FOREST DR STE 300, COLUMBIA, SC 29204-4057
(803) 749-5101
(803) 933-3045
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52674
SC
Other
Enumeration date
06/14/2018
Last updated
02/28/2025
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