Organization
PROHEALTH FAMILY MEDICINE LLC
Active
Other names
PROHEALTH FAMILY MEDICINE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOBERT ARAGON VEGO (CREDENTIALING)
(803) 614-4131
Entity
Organization
Contact information
Practice address
1555 MIDDLETON ST, ORANGEBURG, SC 29115-4791
(803) 308-7746
Mailing address
PO BOX 631, ORANGEBURG, SC 29116-0631
(803) 308-7746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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