Organization
REAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI MANOS M.D. (M.D.)
(843) 302-0920
Entity
Organization
Contact information
Practice address
101 SPRINGHALL DR, GOOSE CREEK, SC 29445-5336
(843) 302-0920
Mailing address
101 SPRINGHALL DRIVE, GOOSE CREEK, SC 29445
(843) 302-0920
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1801218196
SC
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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