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SEUNG-JUN O MD

Physicians - Surgery Plastic and Reconstructive Surgery

Charleston, South Carolina

Provider NPI: 1215042155

Provider Information:
 SEUNG-JUN  O MD


Practice Location:
2097 HENRY TECKLENBURG DR SUITE 211 WEST CHARLESTON, SC 29414 US
Tel: 843-573-3456  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0122XPhysicians
Surgery
Plastic and Reconstructive Surgery
SC17305

Other Provider Identifiers:

IssuerNumberStateType
173056SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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