Individual
DR. PETER K MAUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACP, CMD
Contact information
Practice address
9319 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9103
(843) 343-3188
(843) 824-9342
Mailing address
PO BOX 61147, N CHARLESTON, SC 29419-1147
(843) 343-3188
(843) 824-9342
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T65925
—
SC
Enumeration date
07/01/2006
Last updated
12/21/2009
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