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Organization
SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization
SIRACH HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
Sirach Health Professional Limited Liability Corporation, Sirach Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY EDWARD MALONJARO ROQUE MD (CEO, SOLE MEMBER)
(865) 306-8363
Entity
Organization
Contact information
Practice address
4070 US HIGHWAY 17 BYPASS SOUTH, MURRELLS INLET, SC 29576
(865) 306-8363
Mailing address
PO BOX 847, CORDOVA, TN 38088-0847
(901) 821-0338
(844) 325-0416
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
04/24/2019
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