Individual
BRIAN CHANG PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
FAMILY MEDICINE CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Mailing address
FAMILY MEDICINE CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL82245
SC
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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