Provider Demographics
NPI:1124171541
Name:TRAN, TUAN CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:TUAN
Middle Name:CHRISTOPHER
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1112 MILL ST
Mailing Address - Street 2:L
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-3712
Mailing Address - Country:US
Mailing Address - Phone:803-432-4498
Mailing Address - Fax:803-425-4123
Practice Address - Street 1:1112 MILL ST
Practice Address - Street 2:L
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-3712
Practice Address - Country:US
Practice Address - Phone:803-432-4498
Practice Address - Fax:803-425-4123
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA051666207X00000X
SC36456207X00000X
SC36546207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAVAD 000Medicare UPIN