Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 38154 | SC |
NPI | 1023332707 |
---|---|
Provider Name | Anson Le Pham |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2010 |
Last Update Date | 31/01/2018 |