Individual
SEUNG-JUN O
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2097 HENRY TECKLENBURG DR, SUITE 211 WEST, CHARLESTON, SC 29414-5740
(843) 573-3456
(843) 573-3465
Mailing address
2097 HENRY TECKLENBURG DR, SUITE 211 WEST, CHARLESTON, SC 29414-5740
(843) 573-3456
(843) 573-3465
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17305
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173056
—
SC
Enumeration date
08/20/2006
Last updated
11/05/2008
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