Mangione, Gregory S.
Mangione, Gregory S. is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 200 , Columbia SC 29203-6882. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mangione, Gregory S. can be contacted via phone (803) 296-7303.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 200
Columbia SC 29203-6882
Phone: (803) 296-7303
Fax: (803) 296-7330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1284 | South Carolina |
Profile Details
NPI number | 1245226133 |
---|---|
LBN Legal business name | Mangione, Gregory S. |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Mar 9th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245226133 | NPPES |
South Carolina | MEDICAID | 0620PA |
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