Individual
DIOVAL ANGELO BALAGTAS REMONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1765
Mailing address
273 LONE OAK RD, ROANOKE RAPIDS, NC 27870-8471
(252) 676-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL41138
SC
Other
Enumeration date
03/29/2017
Last updated
05/31/2017
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