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Individual

MR. THOMAS ALAN KANTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
110 QUAIL CREEK DR, WEST COLUMBIA, SC 29169-3435
(803) 530-5904
Mailing address
110 QUAIL CREEK DR, WEST COLUMBIA, SC 29169-3435
(803) 530-5904

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA30213
DC

Other

Enumeration date
10/13/2006
Last updated
08/18/2008
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