Vuthiganon, Chatchaval

Vuthiganon, Chatchaval is an individual health care provider with primary practice located at 1506 Grays Highway Suite C, Ridgeland SC 29936. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vuthiganon, Chatchaval can be contacted via phone (843) 726-4527.

Contact Information

Primary practice address
1506 Grays Highway Suite C Ridgeland SC 29936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11376 South Carolina

Profile Details

NPI number 1891748463
LBN Legal business name Vuthiganon, Chatchaval
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891748463 NPPES
South Carolina MEDICAID 113763

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