Individual
DR. JONATHAN ALEMU MENGISTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6285
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL95008
SC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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