IFEKAN-SHANGO SIMON

SPARTANBURG, SC
NPI1992742837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  22352)
Enumeration Date2006-05-31
Last Update Date2013-08-20
Business Address
-- IFEKAN-SHANGO SIMON
853 N CHURCH ST SUITE 510
SPARTANBURG, SC 29303-3098
Phone number: 864-560-1558
Mailing Address
-- IFEKAN-SHANGO SIMON
853 N CHURCH ST SUITE 510
SPARTANBURG, SC 29303-3077
Phone number: 864-560-1558
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