J-RAPHA CLINIC LLC
Osteopathic Medicine at Professional Ct, Foreston, SC

License number
South Carolina 20233
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DONATUS M EGBONIM MD
Title: OWNER
Phone: (803) 433-7991
Address
Address
1042 Professional Ct, Foreston, SC 29102
National Provider ID: 1487858163
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about J-RAPHA CLINIC LLC at bizstanding.com

J-RAPHA CLINIC, LLC

1180 Heritage Dr, Manning, SC 29102

Status:
Inactive
Registration:
Mar 13, 2006
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
03/27/2013
Agent:
Donatus M Egbonim

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