Individual
MR. MICHAEL TANBONLIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 E MAIN ST, DUNCAN, SC 29334-9218
(864) 560-3500
(864) 560-3535
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18389
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183893
—
SC
01
—
5286119
AETNA
SC
01
—
64293
MEDCOST
SC
Enumeration date
01/27/2006
Last updated
12/31/2020
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