Dr. Choncharoen Amphan, MD
Internal Medicine in Spartanburg, SC. Individual provider (NPI-1).
NPI number1992897698
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1992897698
- Entity type
- Individual (NPI-1)
- Name
- Dr. Choncharoen Amphan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2006
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 23697 | SC | Yes |
| 208M00000X | Hospitalist | 23697 | SC | |
| 207RN0300X | Internal Medicine, Nephrology | 23697 | SC |
Practice location
101 E Wood StSpartanburg, SC 29303-3040
Phone 864-560-6654
Mailing address
Po Box 743070Atlanta, GA 30374-3070
Phone 864-560-4123
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