Individual
DR. KEVIN C CHOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 434-8800
(803) 929-0492
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
86144
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2012
Last updated
09/07/2021
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