Organization · Type 2 NPI
Mango Medical DPC
Primary Care Clinic/Center · Hampton, VA
NPI number
1548029580
Active
Practice location
23 S Mallory St Ste C
Hampton, VA 23663-1707
Fax (800) 313-5613
Mailing address
23 S Mallory St Ste B
Hampton, VA 23663-1707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1548029580
Mango Medical DPC's National Provider Identifier is 1548029580, issued on Mar 13, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hampton, VA. The record was last updated on Dec 4, 2024.