| Prohealth Family Medicine Llc | |
|
1555 Middleton St Orangeburg SC 29115-4791 | |
| (803) 308-7746 | |
| Not Available |
| Full Name | Prohealth Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1555 Middleton St, Orangeburg, South Carolina |
| Authorized Official Name and Position | Jobert Aragon Vego (CREDENTIALING) |
| Authorized Official Contact | 8036144131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Family Medicine Llc Po Box 631 Orangeburg SC 29116-0631 Ph: (803) 308-7746 | Prohealth Family Medicine Llc 1555 Middleton St Orangeburg SC 29115-4791 Ph: (803) 308-7746 |
| NPI Number | 1558995928 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558995928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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