Individual
RONDRIA MANIGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-4600
Mailing address
1100 WARBURTON RD APT 5412, SUMMERVILLE, SC 29486-8494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28824
SC
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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