Long Thang Quan (NPI# 1194784058, PAC ID# 7315029758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1194784058 |
| PAC ID by PECOS | 7315029758 |
| Professional Enrollment ID | I20100218000099 |
| Full Name | Long Thang Quan |
| Organization Legal Name | CAROLINA DERMATOLOGY GRP |
| Address |
1706 Saint Julian Pl Columbia SC 29204-2410 |
| Phone Number | 8037717506 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3274557384 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1706 Saint Julian Pl, Columbia, SC 29204-2410 | 8037717506 | CAROLINA DERMATOLOGY GRP |
| Organization Legal Name | CAROLINA DERMATOLOGY GRP |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Mcilver Leppard | Plastic and Reconstructive Surgery | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Hunter W Burch | Dermatology | Carolina Dermatology Grp | 1929 Mountain Laurel Ct A, Florence, SC 29505-6053 |
| Ann Harriott F Ervin | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Jing Wei Zhang | Pathology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Annette Lynn | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Kaitlyn Powell | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Vanessa Nicole Richardson | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Maggie Boykin | Physician Assistant | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Noah Hodson Kahn | Dermatology | Carolina Dermatology Grp | 1929 Mountain Laurel Ct A, Florence, SC 29505-6053 |
| Lori Perigen Mauldin | Physician Assistant | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Street Address |
1706 SAINT JULIAN PL |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Mcilver Leppard | Plastic and Reconstructive Surgery | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Ann Harriott F Ervin | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Jing Wei Zhang | Pathology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Annette Lynn | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Kaitlyn Powell | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Vanessa Nicole Richardson | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Maggie Boykin | Physician Assistant | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Lori Perigen Mauldin | Physician Assistant | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Lauren C Vargo | Physician Assistant | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Mark Gerald Blaskis | Dermatology | Carolina Dermatology Grp | 1706 Saint Julian Pl, Columbia, SC 29204-2410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | DERMATOLOGY |
| City + Specialty | COLUMBIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Long Thang Quan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.