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SOTHEARY CHAN PA
NPI 1750551818
Physician Assistant - Medical in Fairfax, SC

Active since March 05, 2008
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827(803) 632-1176(803) 632-2410 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sotheary Chan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOTHEARY CHAN PA (NPI 1750551818) is an individual medical provider in Fairfax, South Carolina, licensed in South Carolina (1272) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1750551818
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSOTHEARY CHANCredential: PA
Location Address1787 ALLENDALE FAIRFAX HWYFairfax, SC 29827-9133
Mailing AddressPo Box 218Fairfax, SC 29827-0218 · (803) 632-1176 · Fax (803) 632-2410
Phone(803) 632-1176
Fax(803) 632-2410
Sole ProprietorNo
Enumeration DateMarch 5, 2008
✔ NPI 1750551818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 1272
1787 ALLENDALE FAIRFAX HWY, Fairfax, SC 29827
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON A STANLEY M.S.N.,A.C.N.P.
Nurse Practitioner (Acute Care)
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3421
DR. ROGER EUGENE NUNN MD
Family Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3421
DR. BRENT ALAN ARMSTRONG MD
Emergency Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3311
MS. EUNICE E WHITE R.N. B.S.N. C.D.E
Registered Nurse (Diabetes Educator)
1787 ALLENDALE FAIRFAX HWY, POB 218
FAIRFAX, SC 29827
Allendale County (803) 632-3311
ALLENDALE COUNTY HOSPITAL BOARD
Family Medicine
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3311
ALLENDALE COUNTY HOSPITAL BOARD
General Acute Care Hospital (Critical Access)
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3311
DR. LEWIS EDWARD GORE III PT, DPT
Physical Therapist
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3421
ANGELA HARDIN PTA
Physical Medicine & Rehabilitation
1787 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sotheary Chan's NPI number?

The NPI number for Sotheary Chan is 1750551818. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Sotheary Chan located?

Sotheary Chan practices at 1787 Allendale Fairfax Hwy, Fairfax, SC 29827. The listed phone number is (803) 632-1176.

What is Sotheary Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sotheary Chan was last updated on March 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.