Organization
THE AGELESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SINGLETON MD (OWNER)
(803) 262-0897
Entity
Organization
Contact information
Practice address
1620 BROUGHTON STREET, ORANGEBURG, SC 29115
(803) 262-0897
(803) 531-6056
Mailing address
PO BOX 2549, ORANGEBURG, SC 29116
(803) 262-0897
(803) 531-6056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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