Organization
SEUNG-JUN O, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG-JUNG O M.D. (OWNER)
(843) 571-4742
Entity
Organization
Contact information
Practice address
2097 HENRY TECKLENBURG DR, SUITE 212 WEST, CHARLESTON, SC 29414-5740
(843) 571-4742
Mailing address
2097 HENRY TECKLENBURG DR, SUITE 212 WEST, CHARLESTON, SC 29414-5740
(843) 571-4742
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
SC17305
SC
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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