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Individual

RICHARD JOHN DEANGELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1409 N FANT ST, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073
Mailing address
1409 N FANT ST, ANDERSON, SC 29621-4825
(864) 231-8599
(864) 231-8073

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
15293
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TL2726
SC
Enumeration date
08/09/2005
Last updated
07/13/2026
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