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Contact Information

PONGSTORN PITIRANGGON, MD
514 S DARGAN ST
SUITE H
FLORENCE, SC29506-2552
 Phone: 843-669-5956
 Fax: 843-669-2019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PONGSTORN PITIRANGGON · (Male)

NPI # 1740272236
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 01/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 20141
  • SC Medicaid T42219
Hospital affiliation(s)
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
  • MARION REGIONAL HOSPITAL - (Acute Care)
    2829 E HWY 76
    MULLINS, SC 29574
  • MCLEOD REGIONAL MEDICAL CENTER-PEE DEE - (Acute Care)
    555 E CHEVES ST BOX 8700
    FLORENCE, SC 29506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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