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Individual

DR. RICO AMANCIO ARAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 E MCBEE AVE, GREENVILLE, SC 29601-2737
(864) 241-5199
(864) 241-5198
Mailing address
PO BOX 25039, GREENVILLE, SC 29616-0039
(864) 241-5199
(864) 241-5198

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22894
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528017860
NPI
SC
01
22894
STATE LICENSE
SC
01
G357326089
MEDICARE ID
05
Q00846
SC
Enumeration date
05/05/2006
Last updated
06/09/2015
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