Angel Oak Family Medicine LLC
NPI #1902083058 in Johns Island, South Carolina
Provider Information
- NPI Number
- 1902083058
- Entity Type
- Organization
- Organization Name
- Angel Oak Family Medicine LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jan 30, 2008
- Last Updated
- Dec 6, 2012
Practice Location
- Address
- 1816 BOHICKET RD STE F
- City
- Johns Island
- State
- South Carolina
- ZIP Code
- 29455-3318
- Phone
- (843) 559-1938
Authorized Official
- Name
- JACQUELINE LEONARA BAER, FNPC
- Title
- PROVIDER
- Phone
- (843) 559-1938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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