Individual
LONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
903 SAINT ANDREWS BLVD STE C, CHARLESTON, SC 29407-7194
(843) 580-3391
Mailing address
1608 CAMP RD # 91, CHARLESTON, SC 29412-4012
(843) 608-1091
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
MAP418
SC
Other
Enumeration date
05/30/2024
Last updated
07/01/2026
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