Individual
DR. JANE MANGWI FON-NDIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(832) 946-5104
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85231
SC
Other
Enumeration date
03/17/2017
Last updated
02/11/2021
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