| Mango Medical Dpc | |
|
23 S Mallory St Ste B Hampton VA 23663-1707 | |
| (757) 210-5959 | |
| (800) 313-5613 |
| Full Name | Mango Medical Dpc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 23 S Mallory St Ste B, Hampton, Virginia |
| Authorized Official Name and Position | Nzinga Teule-hekima (MD/CEO) |
| Authorized Official Contact | 7572105959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mango Medical Dpc 23 S Mallory St Ste B Hampton VA 23663-1707 Ph: (757) 210-5959 | Mango Medical Dpc 23 S Mallory St Ste B Hampton VA 23663-1707 Ph: (757) 210-5959 |
| NPI Number | 1548029580 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548029580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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