| Doctor Name: | MR. SOTHEA PETER SAING |
| NPI Number: | 1225420482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 19176 |
| Business Practice Address: | 1010 Medical Center Dr Ste. 240 Hardeeville, SC - 299273447 |
| Business Phone Number: | 8437848293 |
| Business Fax Number: | |
| Mailing Address: | 1010 Medical Center Dr, Ste. 240 HARDEEVILLE |
| State: | SC |
| Postal Code: | 299273447 |
| Phone Number: | 8437848293 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2015 |
| NPI Last Update Date: | 01/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |