Individual
ANDREI TALANTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5753
(843) 777-5035
Mailing address
PO BOX 100567, FLORENCE, SC 29506-2617
(843) 777-5753
(843) 777-5035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30397
SC
Other
Enumeration date
08/22/2007
Last updated
01/11/2008
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