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Individual

DR. THI BICH THU VAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4006
(843) 692-1000
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572
(843) 692-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89279
SC

Other

Enumeration date
11/18/2020
Last updated
01/08/2024
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