Individual
PHONG THANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7200
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-00994
NC
207R00000X
Internal Medicine Physician
MD29289
SC
208M00000X
Hospitalist Physician
Primary
29289
SC
Other
Enumeration date
07/08/2006
Last updated
03/18/2026
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