Mango Medical Dpc | |
23 S Mallory St Ste C 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 C, 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 C Hampton VA 23663-1707 Ph: (757) 210-5959 |
NPI Number | 1548029580 |
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Provider Enumeration Date | 03/13/2024 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548029580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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