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Organization
PROHEALTH FAMILY MEDICINE LLC
Active
Organization
PROHEALTH FAMILY MEDICINE LLC
Active
Other names
PROHEALTH FAMILY MEDICINE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOBERT ARAGON VEGO (CREDENTIALING)
(803) 614-4131
Entity
Organization
Contact information
Practice address
1555 MIDDLETON ST, ORANGEBURG, SC 29115-4791
(803) 308-7746
Mailing address
PO BOX 631, ORANGEBURG, SC 29116-0631
(803) 308-7746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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