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Mr. Gregory S. Mangione, PA
Surgical Physician Assistant in Columbia, South Carolina
NPI 1245226133

Gregory S. Mangione is a Surgical Physician Assistant based in Belfast, SC and is specialized in Surgical. Gregory S. Mangione practices in Columbia, SC and has the professional credentials of PA. The NPI Number for Gregory S. Mangione is 1245226133 and holds a License No. 1284 (South Carolina).

The current practice location address for Gregory S. Mangione is 14 Richland Medical Park Dr Ste 200, Columbia, SC and can be reached out via phone at 803-296-7303 and via fax at 803-296-7330.

Location: 14 Richland Medical Park Dr Ste 200, Columbia, SC, 04915-4473
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Provider Profile Details
NPI Number
1245226133
Provider Name
Gregory S. Mangione
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
14 Richland Medical Park Dr Ste 200, Columbia, SC, 04915-4473
Phone Number
803-296-7303
Fax Number
803-296-7330
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0620PA 05 SC
institution
Provider Business Practice Location Address Details
Address
14 Richland Medical Park Dr Ste 200
City
State
Zip
29203-6882
Phone Number
803-296-7303
Fax Number
803-296-7330
person
Provider Business Mailing Address Details
Address
14 Richland Medical Park Dr Ste 200
City
State
Zip
29203-6882
Phone Number
803-296-7303
Fax Number
803-296-7330
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1284 (South Carolina)
Definition
Definition to come...
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