Individual
ANDREW PETER MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 236-1950
(843) 236-1952
Mailing address
920 DOUG WHITE DR STE 250, MYRTLE BEACH, SC 29572-4181
(843) 236-1950
(843) 236-1952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1658
SC
207R00000X
Internal Medicine Physician
OT012273
PA
Other
Enumeration date
08/09/2007
Last updated
01/27/2022
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