Individual
DR. JONATHAN EDWARD PANGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1780
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(438) 692-1780
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
250052
MA
207P00000X
Emergency Medicine Physician
60 247121
NY
Other
Enumeration date
05/23/2007
Last updated
07/10/2023
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