Individual
DR. THONGLA POUNGTHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1945 DECKER BLVD STE 12, COLUMBIA, SC 29206-3425
(803) 782-9596
(803) 782-9505
Mailing address
105 OLD FIELD CT, LEXINGTON, SC 29072-2797
(803) 808-9588
(803) 782-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2421
SC
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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