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Individual

FANG EMILY DENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-7399
(803) 434-7529
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
LL35974
SC
208D00000X
General Practice Physician
Primary
60025-20
WI

Other

Enumeration date
06/28/2010
Last updated
06/21/2013
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