Individual
CO THI HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1175 COOK RD, ORANGEBURG, SC 29118-8201
(803) 747-0025
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 876-1344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30197
NE
207Q00000X
Family Medicine Physician
Primary
91622
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
07/12/2024
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