Organization
DORA ANGUELOVA, MD, PHD, PA
Active
Other names
magnolia general medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVO ANGUELOV MD (MANAGER)
(843) 357-6734
Entity
Organization
Contact information
Practice address
4914 HIGHWAY 17, MURRELLS INLET, SC 29576-5040
(843) 357-6734
(843) 357-6770
Mailing address
PO BOX 749, MURRELLS INLET, SC 29576-0749
(843) 357-6734
(843) 357-6770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP 3580
—
SC
Enumeration date
04/13/2006
Last updated
02/08/2010
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