| NPI | 1558995928 |
|---|---|
| Doing Business As | PROHEALTH FAMILY MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | JOBERT ARAGON VEGO Credentialing 803-614-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |