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1508444225
JUAN R VIGO MATOS
GEORGETOWN, SC
NPI
1508444225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 12824)
Enumeration Date
2021-04-01
Last Update Date
2024-12-13
Business Address
Dr. JUAN R VIGO MATOS MD
606 BLACK RIVER RD
GEORGETOWN, SC 29440-3304
Phone number: 843-527-7000
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Mailing Address
Dr. JUAN R VIGO MATOS MD
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone number: 843-527-7000
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