Individual
AIDAN DAVID LUM KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406
(843) 797-7000
Mailing address
9228 MEDICAL PLAZA DRIVE, CHARLESTON, SC 29406
(843) 797-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2024-0345
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
07/23/2024
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