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Individual

ELIZABETH MANGUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
U
Credential
MD, MPH

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1020
(843) 792-1414
Mailing address
602 WINDERMERE BLVD UNIT B, CHARLESTON, SC 29407-7414

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL92362
SC

Other

Enumeration date
12/14/2021
Last updated
06/17/2024
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