J-Rapha Clinic LLC

NPI #1487858163 in Manning, South Carolina

Provider Information

NPI Number: 1487858163
Entity Type: Organization
Organization Name: J-Rapha Clinic LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 14, 2007
Last Updated: May 6, 2008

Practice Location

Address: 1042 PROFESSIONAL COURT
City: Manning
State: South Carolina
ZIP Code: 29102-2827
Phone: (803) 433-7991

Authorized Official

Name: DONATUS M EGBONIM, MD
Title: OWNER
Phone: (803) 433-7991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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